Individual provider · Type 1 NPI

Kelly Gracek, M.A., CCC-SLP

Speech-Language Pathologist · Ponte Vedra, FL

NPI number 1285252569 Active

Practice location

90 Fort Wade Rd Suite 100 #1017
Ponte Vedra, FL 32081

Call (904) 834-9796 Map

Mailing address

90 Fort Wade Rd, Suite 100 #1017
Ponte Vedra, FL 32081

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSA20900 (FL)
Speech-Language Pathologist 235Z00000X30002434 (NC)

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 1285252569

Kelly Gracek, M.A., CCC-SLP's National Provider Identifier is 1285252569, issued on Jul 13, 2020. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Sep 8, 2025.