Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY GRACEK, M.A., CCC-SLP
Active Sole ProprietorKELLY GRACEK, M.A., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in PONTE VEDRA, Florida. NPI 1285252569 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · PONTE VEDRA, FL
Registration Details
- NPI Number
- 1285252569
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2020 (6.090762651886 yrs)
- Last Updated
- Sep 8, 2025
- Licenses
-
SA20900 (FL)30002434 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
90 FORT WADE RD SUITE 100 #1017PONTE VEDRA, FL, 32081Browse FL providers · Browse ZIP 32081
- Phone
- 9048349796
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in PONTE VEDRA, FL
| Name | Credential | NPI |
|---|---|---|
| MS. LAUREN M COLLINS | SPEECH PATHOLOGIST | 1407943384 |
| MRS. ALICIA ANA OTERO | MA; CCC-SLP | 1063666188 |
| KIMBERLY E KENNELL | MS, CCC-SLP | 1477817252 |
| RENEE BROOKE | CCC-SLP | 1568712073 |
| KAYLA G JONES | M.S., CCC-SLP | 1508249871 |
| MR. DANIEL CARR | — | 1962919779 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.