Individual provider · Type 1 NPI

Kelly N. Blauvelt

Speech-Language Pathologist · Riverhead, NY

NPI number 1154259190 Active

Practice location

524 E Main St Ste 200
Riverhead, NY 11901-2668

Mailing address

3760 Ole Jule Ln
Mattituck, NY 11952-2120

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: 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, resonan…

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About NPI 1154259190

Kelly N. Blauvelt's National Provider Identifier is 1154259190, issued on May 11, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Riverhead, NY. The record was last updated on May 11, 2026.