KELLY MACK SLP
NPI 1578896460
Speech-Language Pathologist in Boulder, CO

Q: What is Kelly Mack's NPI number?

The NPI number for Kelly Mack is 1578896460. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Q: What is Kelly Mack'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 Kelly Mack was last updated on August 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 September 10, 2009

2124 16TH ST, BOULDER, CO 80302(530) 230-7429 Get Directions Write a Review

NPPES record last updated: August 6, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kelly Mack Slp NPPES

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

KELLY MACK SLP (NPI 1578896460) is an individual speech-language pathologist provider in Boulder, Colorado, licensed in California (15946) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1578896460

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY MACKCredential: SLP

Location Address2124 16TH STBoulder, CO 80302-4354

Mailing Address2124 16th StBoulder, CO 80302-4354

Phone(530) 230-7429

Sole ProprietorYes

Enumeration DateSeptember 10, 2009

Last NPPES UpdateAugust 6, 2011

✔ NPI 1578896460 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 CA · 15946

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.

2124 16TH ST, Boulder, CO 80302

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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 Mack's NPI number?

The NPI number for Kelly Mack is 1578896460. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is Kelly Mack located?

Kelly Mack practices at 2124 16th St, Boulder, CO 80302. The listed phone number is (530) 230-7429.

What is Kelly Mack'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 Mack was last updated on August 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.