MRS. KELLY FUTCH WALL MA, CF-SLP
NPI 1851811988
Speech-Language Pathologist in Fairfax, SC

Active since June 20, 2017
1460 POCOTALIGO RD, FAIRFAX, SC 29827(803) 943-6401 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 20, 2017 (2 updates tracked since 2017).

  • Individual
  • Female
  • Speech-Language Pathologist

About KELLY WALL

This page provides the complete NPI Profile along with additional information for Kelly Wall, a provider established in Fairfax, South Carolina with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1851811988 assigned on June 2017. The practitioner's primary taxonomy code is 235Z00000X with license number 6017 (SC). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1851811988 Verify this NPI
Provider Name
MRS. KELLY FUTCH WALL MA, CF-SLP
Gender
Female
Entity Type
Individual
Location Address
1460 POCOTALIGO RD FAIRFAX, SC 29827
Location Phone
(803) 943-6401
Mailing Address
1460 POCOTALIGO RD FAIRFAX, SC 29827
Mailing Phone
(803) 943-6401
Is Sole Proprietor?
No
Enumeration Date
06-20-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
6017
License State
SC
Taxonomy Description
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.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Speech-Language Pathologist
1460 POCOTALIGO RD
FAIRFAX, SC 29827

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851811988, enumerated as an "individual" on June 20, 2017.

The provider is located at 1460 POCOTALIGO RD FAIRFAX, SC 29827 and the phone number is (803) 943-6401.

Speech-Language Pathologist with taxonomy code 235Z00000X.