MRS. KELLY L ENGEBO M.A.,SLP,CCC
NPI 1457411001
Speech-Language Pathologist in Vancouver, WA

Active since December 12, 2006
106 E 15TH ST, VANCOUVER, WA 98663(360) 750-5850(360) 750-7244 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Kelly L Engebo M.a.,slp,ccc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY L ENGEBO M.A.,SLP,CCC (NPI 1457411001) is an individual speech-language pathologist provider in Vancouver, Washington, licensed in Washington (LL00002782) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1457411001
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KELLY L ENGEBOCredential: M.A.,SLP,CCC
Location Address106 E 15TH STVancouver, WA 98663-3401
Mailing Address208 W 36th StVancouver, WA 98660-1936 · (360) 750-5850 · Fax (360) 750-7244
Fax(360) 750-7244
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1457411001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in WA · LL00002782
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
106 E 15TH ST, Vancouver, WA 98663

Other Names 1

Former Name (1)Miss Kelly L Jackson

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Developmental Disabilities)
106 E 15TH ST
VANCOUVER, WA 98663
Physical Therapist
106 E 15TH ST
VANCOUVER, WA 98663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Engebo's NPI number?

The NPI number for Kelly Engebo is 1457411001. It was assigned to this individual provider in the NPPES registry on December 12, 2006. The provider is also known as Miss Kelly L Jackson.

Where is Kelly Engebo located?

Kelly Engebo practices at 106 E 15th St, Vancouver, WA 98663. The listed phone number is (360) 750-5850.

What is Kelly Engebo's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Engebo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.