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KELLY DECLARK
NPI 1841124740
Speech-Language Pathologist in Holly, MI

Active since June 09, 2026
10483 DIXIE HWY, HOLLY, MI 48442(810) 771-7686 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kelly Declark NPPES

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

KELLY DECLARK (NPI 1841124740) is an individual speech-language pathologist provider in Holly, Michigan, licensed in Michigan (7152001440) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1841124740
Entity TypeIndividual
Primary Taxonomy235Z00000X
Provider Legal NameKELLY DECLARK
Location Address10483 DIXIE HWYHolly, MI 48442-9311
Mailing Address10483 Dixie HwyHolly, MI 48442-9311 · (810) 771-7686
Phone(810) 771-7686
Sole ProprietorNo
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1841124740 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 MI · 7152001440
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.
10483 DIXIE HWY, Holly, MI 48442
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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.

ABIGAIL ANNE HEREAU PT, DPT, ATC
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 498-2301
ANNA MARIE BRADLEY PT, DPT
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
HEATHER HEPPER PT, DPT
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
TERESA RENEE FINNIGAN
Speech-Language Pathologist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7685
KAITLYN LANDESS OTD, OTR/L
Occupational Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
MEGAN ANTAYA SCHMIDT OTR/L
Occupational Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 498-2301
ERIN UEHARA
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
MARRISSA TACKETT
Recreation Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (734) 657-2054

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 Declark's NPI number?

The NPI number for Kelly Declark is 1841124740. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Kelly Declark located?

Kelly Declark practices at 10483 Dixie Hwy, Holly, MI 48442. The listed phone number is (810) 771-7686.

What is Kelly Declark'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 Declark was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.