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KELSEY JACK CCC-SLP
NPI 1750161808
Speech-Language Pathologist in Douglasville, GA

Active since October 04, 2023
6078 DORSET BRIDGE RD, DOUGLASVILLE, GA 30135(361) 215-4254 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Jack Ccc-slp NPPES

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

KELSEY JACK CCC-SLP (NPI 1750161808) is an individual speech-language pathologist provider in Douglasville, Georgia, licensed in Georgia (012517) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1750161808
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELSEY JACKCredential: CCC-SLP
Location Address6078 DORSET BRIDGE RDDouglasville, GA 30135-6016
Mailing Address6078 Dorset Bridge RdDouglasville, GA 30135-6016
Phone(361) 215-4254
Sole ProprietorNo
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
✔ NPI 1750161808 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
Licenses✔ Licensed in GA · 012517✔ Licensed in NC · 30002182
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.
6078 DORSET BRIDGE RD, Douglasville, GA 30135
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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.

THE WORD VINE SPEECH SERVICES, LLC
Speech-Language Pathologist
6078 DORSET BRIDGE RD
DOUGLASVILLE, GA 30135
Douglas County (943) 244-1495

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 Kelsey Jack's NPI number?

The NPI number for Kelsey Jack is 1750161808. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Kelsey Jack located?

Kelsey Jack practices at 6078 Dorset Bridge Rd, Douglasville, GA 30135. The listed phone number is (361) 215-4254.

What is Kelsey Jack'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 Kelsey Jack was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.