LARISSA KELLY CCC-SLP
NPI 1497185102
Speech-Language Pathologist in Lakeland, FL

Q: What is Larissa Kelly's NPI number?

The NPI number for Larissa Kelly is 1497185102. It was assigned to this individual provider in the NPPES registry on November 15, 2013.

Q: What is Larissa Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Larissa Kelly was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 15, 2013

3020 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803(863) 686-3189(863) 682-1348 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Larissa Kelly Ccc-slp NPPES

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

LARISSA KELLY CCC-SLP (NPI 1497185102) is an individual speech-language pathologist provider in Lakeland, Florida, licensed in Florida (SA12655) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1497185102

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameLARISSA KELLYCredential: CCC-SLP

Location Address3020 LAKELAND HIGHLANDS RDLakeland, FL 33803-4338

Mailing Address3020 Lakeland Highlands RdLakeland, FL 33803-4338 · (863) 686-3189 · Fax (863) 682-1348

Phone(863) 686-3189

Fax(863) 682-1348

Sole ProprietorNo

Enumeration DateNovember 15, 2013

✔ NPI 1497185102 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 FL · SA12655

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.

3020 LAKELAND HIGHLANDS RD, Lakeland, FL 33803

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Other Providers at the Same Location NPPES 20

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

MR. JULIO FERNANDEZ JR.

Specialist/Technologist (Audiology Assistant)