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KELLIE BOUREN
NPI 1902374150
Speech-Language Pathologist in Southfield, MI

Active since November 06, 2018
30503 GREENFIELD RD, SOUTHFIELD, MI 48076(248) 691-4732 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2024, Nov 6, 2018 (2 updates tracked since 2018).

About Kellie Bouren NPPES

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

KELLIE BOUREN (NPI 1902374150) is an individual speech-language pathologist provider in Southfield, Michigan, licensed in Michigan (7101000845) and active in the NPI registry since November 2018. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1902374150
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLIE BOUREN
Location Address30503 GREENFIELD RDSouthfield, MI 48076-1594
Mailing Address4949 Coolidge HwyRoyal Oak, MI 48073-1026 · (248) 655-5975
Phone(248) 691-4732
Sole ProprietorYes
Enumeration DateNovember 6, 2018
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1902374150 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 · 7101000845
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.
30503 GREENFIELD RD, Southfield, MI 48076
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Secondary Practice Locations 4

Location 117150 Waterloo StGrosse Pointe, MI 48230-1201 · Phone (313) 473-4730
Location 215959 Hall RdMacomb, MI 48044-5363 · Phone (586) 416-6290
Location 34949 Coolidge HwyRoyal Oak, MI 48073-1026 · Phone (248) 655-5975
Location 46900 Orchard Lake RdWest Bloomfield, MI 48322-3405 · Phone (248) 855-4480

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.

STEPHANIE BERG WRIGHT MS
Psychologist (Counseling)
30503 GREENFIELD RD
SOUTHFIELD, MI 48076
Oakland County (248) 691-4744
DR. RAVINDER SANDHU
Psychiatry & Neurology (Psychiatry)
30503 GREENFIELD RD
SOUTHFIELD, MI 48076
Oakland County (248) 691-8156
DR. STACY ELIZABETH GRINDLING PSY.D.
Psychologist
30503 GREENFIELD RD
SOUTHFIELD, MI 48076
Oakland County (248) 691-4744
STEFANI J HINES MD
Pediatrics (Developmental - Behavioral Pediatrics)
30503 GREENFIELD RD
SOUTHFIELD, MI 48076
Oakland County (248) 691-4744
JESSICA DANIELLE MARTIN MSW, LMSW
Social Worker (Clinical)
30503 GREENFIELD RD
SOUTHFIELD, MI 48076
Oakland County (248) 691-4744
BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
Internal Medicine
30503 GREENFIELD RD
SOUTHFIELD, MI 48076
Oakland County (248) 691-8156
AMELIA AMIN PH.D., LP
Psychologist (Clinical)
30503 GREENFIELD RD
SOUTHFIELD, MI 48076
Oakland County (248) 691-4744
ANNA ANGELO BCBA
Behavior Analyst
30503 GREENFIELD RD
SOUTHFIELD, MI 48076
Oakland County (586) 382-0933

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 Kellie Bouren's NPI number?

The NPI number for Kellie Bouren is 1902374150. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Kellie Bouren located?

Kellie Bouren practices at 30503 Greenfield Rd, Southfield, MI 48076. The listed phone number is (248) 691-4732.

What is Kellie Bouren'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 Kellie Bouren was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.