Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MACK, SLP
Active Sole ProprietorKELLY MACK, SLP is a Speech, Language and Hearing Specialist healthcare provider located in BOULDER, Colorado. NPI 1578896460 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · BOULDER, CO
Registration Details
- NPI Number
- 1578896460
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2009 (16.932264498526 yrs)
- Last Updated
- Aug 6, 2011
- License
-
15946 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2124 16TH STBOULDER, CO, 803024354Browse CO providers · Browse ZIP 80302
- Phone
- 5302307429
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in BOULDER, CO
| Name | Credential | NPI |
|---|---|---|
| SHEILA L. GOETZ | M.A. CCC-SLP | 1528046497 |
| MARY LOU ACIMOVIC | M.A. | 1902853898 |
| MARY ANN KEATLEY | PH.D. | 1720035306 |
| ELIZABETH I. SMITH | M.A., CCC-SLP | 1922030691 |
| NANCY SUSAN GANSEN | M.A., CCC-SLP | 1972618981 |
| MS. LAURA JANE MONTESANO | M.A. CCC-SLP, MT-BC | 1821104571 |
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.