SHANNON MARIE KELLY SLP
NPI 1679084172
Speech-Language Pathologist in Waco, TX

Active since October 24, 2017
900 WASHINGTON AVE STE 602, WACO, TX 76701(254) 296-9792 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Oct 24, 2017 (2 updates tracked since 2017).

About Shannon Marie Kelly Slp NPPES

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

SHANNON MARIE KELLY SLP (NPI 1679084172) is an individual speech-language pathologist provider in Waco, Texas, licensed in Texas (113034) and active in the NPI registry since October 2017. She maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1679084172
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHANNON MARIE KELLYCredential: SLP
Location Address900 WASHINGTON AVE STE 602Waco, TX 76701-1283
Mailing Address900 Washington Ave Ste 602Waco, TX 76701-1283
Sole ProprietorNo
Enumeration DateOctober 24, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1679084172 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 TX · 113034
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.

900 WASHINGTON AVE STE 602, Waco, TX 76701

Secondary Practice Location 1

Location 14300 Sigma RdDallas, TX 75244-4422 · Phone (972) 630-6369

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.

Speech-Language Pathologist
900 WASHINGTON AVE STE 602
WACO, TX 76701
Speech-Language Pathologist
900 WASHINGTON AVE STE 602
WACO, TX 76701
Speech-Language Pathologist
900 WASHINGTON AVE STE 602
WACO, TX 76701
Speech-Language Pathologist
900 WASHINGTON AVE STE 602
WACO, TX 76701
Speech-Language Pathologist
900 WASHINGTON AVE STE 602
WACO, TX 76701
Specialist/Technologist (Speech-Language Assistant)
900 WASHINGTON AVE STE 602
WACO, TX 76701
Speech-Language Pathologist
900 WASHINGTON AVE STE 602
WACO, TX 76701
Specialist/Technologist (Speech-Language Assistant)
900 WASHINGTON AVE STE 602
WACO, TX 76701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679084172, enumerated as an "individual" on October 24, 2017.

The provider is located at 900 WASHINGTON AVE STE 602 WACO, TX 76701 and the phone number is (254) 296-9792.

Speech-Language Pathologist with taxonomy code 235Z00000X.