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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEANNA NELSON, CCC-SLP

Active Sole Proprietor

KEANNA NELSON, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in FAYETTEVILLE, Georgia. NPI 1386635191 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · FAYETTEVILLE, GA

Registration Details

NPI Number
1386635191
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2005 (20.743033419268 yrs)
Last Updated
May 16, 2025
License
SLP006202 (GA)
Sole Proprietor
Yes

Practice Information

Address
175 BRADFORD SQ STE A
FAYETTEVILLE, GA, 30215
Browse GA providers · Browse ZIP 30215
Phone
6784387168
Fax
4703778097
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in FAYETTEVILLE, GA

Name Credential NPI
KARIN SHAH 1730111667
KATHARINE GRIDLEY 1497787311
LOURDES SORIANO SLP 1750301156
MISS PAULA MICHELLE FORRESTER M.ED 1689698854
MRS. MICHELLE N. ROBERTSON M.A. CCC-SLP 1164584702
DR. DARRYL EUGENE NORTON PHD 1922160449
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.