KELLY E FRUIN
NPI 1992825160
Speech-Language Pathologist in Mesa, AZ

Q: What is Kelly Fruin's NPI number?

The NPI number for Kelly Fruin is 1992825160. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Q: What is Kelly Fruin'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 Kelly Fruin was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 30, 2007

1025 N COUNTRY CLUB DR, MESA, AZ 85201(480) 472-0502(480) 472-0705 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly E Fruin NPPES

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

KELLY E FRUIN (NPI 1992825160) is an individual speech-language pathologist provider in Mesa, Arizona, licensed in Arizona (SLP5185) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1992825160

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLY E FRUIN

Location Address1025 N COUNTRY CLUB DRMesa, AZ 85201-3307

Mailing Address1025 N Country Club DrMesa, AZ 85201-3307 · (480) 472-0502 · Fax (480) 472-0705

Phone(480) 472-0502

Fax(480) 472-0705

Sole ProprietorNo

Enumeration DateMarch 30, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1992825160 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 AZ · SLP5185

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.

1025 N COUNTRY CLUB DR, Mesa, AZ 85201

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Other Identifiers 1

Medicaid176937AZ

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.

JENNIFER SELLINGER

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