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KATELYN MYRACLE M.A. CCC-SLP
NPI 1629436670
Speech-Language Pathologist in Ladson, SC

Active since February 05, 2016
9701 PATRIOT BLVD, LADSON, SC 29456(843) 695-2979 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Feb 5, 2016 (2 updates tracked since 2016).

About Katelyn Myracle M.a. Ccc-slp NPPES

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

KATELYN MYRACLE M.A. CCC-SLP (NPI 1629436670) is an individual speech-language pathologist provider in Ladson, South Carolina, licensed in Tennessee (5712) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1629436670
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATELYN MYRACLECredential: M.A. CCC-SLP
Location Address9701 PATRIOT BLVDLadson, SC 29456-8501
Mailing Address5016 White Cedar RdLadson, SC 29456-8539 · (573) 275-7311
Phone(843) 695-2979
Sole ProprietorNo
Enumeration DateFebruary 5, 2016
Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1629436670 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 TN · 5712
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.
9701 PATRIOT BLVD, Ladson, SC 29456
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Other Providers at the Same Location NPPES

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

CAROLYN SIMPSON
Speech-Language Pathologist
9701 PATRIOT BLVD
LADSON, SC 29456
Berkeley County (843) 695-2979

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 Katelyn Myracle's NPI number?

The NPI number for Katelyn Myracle is 1629436670. It was assigned to this individual provider in the NPPES registry on February 5, 2016.

Where is Katelyn Myracle located?

Katelyn Myracle practices at 9701 Patriot Blvd, Ladson, SC 29456. The listed phone number is (843) 695-2979.

What is Katelyn Myracle'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 Katelyn Myracle was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.