LARAE KELLEY MS-SLP-CCC
NPI 1790161461
Speech-Language Pathologist in Victoria, TX

Q: What is Larae Kelley's NPI number?

The NPI number for Larae Kelley is 1790161461. It was assigned to this individual provider in the NPPES registry on August 5, 2015. The provider is also known as Larae Wieland Ms-Slp-Ccc.

Q: What is Larae Kelley'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 Larae Kelley was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 August 05, 2015

4208 RETAMA CIR, VICTORIA, TX 77901(361) 578-2257(361) 578-2260 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2025, Dec 14, 2016 (2 updates tracked since 2016).

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About Larae Kelley Ms-slp-ccc NPPES

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

LARAE KELLEY MS-SLP-CCC (NPI 1790161461) is an individual speech-language pathologist provider in Victoria, Texas, licensed in Texas (111556) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1790161461

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameLARAE KELLEYCredential: MS-SLP-CCC

Location Address4208 RETAMA CIRVictoria, TX 77901-2765

Mailing Address4208 Retama CirVictoria, TX 77901-2765 · (361) 578-2257 · Fax (361) 578-2260

Phone(361) 578-2257

Fax(361) 578-2260

Sole ProprietorYes

Enumeration DateAugust 5, 2015

Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration

NPPES CertifiedJuly 3, 2025

✔ NPI 1790161461 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 · 111556

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.

4208 RETAMA CIR, Victoria, TX 77901

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Other Names 1

Former Name (1)Larae Wieland Ms-slp-ccc

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.

MELISSA SIMPSON PT

Physical Therapist