Individual provider · Type 1 NPI

Kelly Tillery, M.S., CCC-SLP

Speech-Language Pathologist · Los Angeles, CA

NPI number 1619826468 Active

Practice location

4547 El Reposo Dr
Los Angeles, CA 90065-5202

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSP26213 (CA)

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 1619826468

Kelly Tillery, M.S., CCC-SLP's National Provider Identifier is 1619826468, issued on Jan 26, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 26, 2026.