KELLY BLICKENSTAFF CCC-SLP
NPI 1457745176
Speech-Language Pathologist in Pikesville, MD

Active since March 19, 2015
15 WALKER AVE, PIKESVILLE, MD 21208(410) 358-1997(866) 840-6040 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Blickenstaff Ccc-slp NPPES

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

KELLY BLICKENSTAFF CCC-SLP (NPI 1457745176) is an individual speech-language pathologist provider in Pikesville, Maryland, licensed in Maryland (07657) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1457745176
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY BLICKENSTAFFCredential: CCC-SLP
Location Address15 WALKER AVEPikesville, MD 21208-4023
Mailing Address15 Walker AvePikesville, MD 21208-4023 · (410) 358-1997 · Fax (866) 840-6040
Fax(866) 840-6040
Sole ProprietorNo
Enumeration DateMarch 19, 2015
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
NPI 1457745176 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 MD · 07657
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.
15 WALKER AVE, Pikesville, MD 21208

Other Providers at the Same Location NPPES 19

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

Occupational Therapist
15 WALKER AVE
PIKESVILLE, MD 21208
Occupational Therapist
15 WALKER AVE
PIKESVILLE, MD 21208
Speech-Language Pathologist
15 WALKER AVE
PIKESVILLE, MD 21208
Occupational Therapist (Pediatrics)
15 WALKER AVE
PIKESVILLE, MD 21208
Developmental Therapist
15 WALKER AVE
PIKESVILLE, MD 21208
Physical Therapist (Pediatrics)
15 WALKER AVE
PIKESVILLE, MD 21208
Nurse Practitioner (Psychiatric/Mental Health)
15 WALKER AVE
BALTIMORE, MD 21208
Occupational Therapist (Pediatrics)
15 WALKER AVE
PIKESVILLE, MD 21208

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 Blickenstaff's NPI number?

The NPI number for Kelly Blickenstaff is 1457745176. It was assigned to this individual provider in the NPPES registry on March 19, 2015.

Where is Kelly Blickenstaff located?

Kelly Blickenstaff practices at 15 Walker Ave, Pikesville, MD 21208. The listed phone number is (410) 358-1997.

What is Kelly Blickenstaff'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 Blickenstaff was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.