Individual provider · Type 1 NPI

Kelly Douglass, SLP

Speech-Language Pathologist · Roseville, CA

NPI number 1679254494 Active

Practice location

707 Sunrise Ave
Roseville, CA 95661-4524

Mailing address

504 Cranborne Ct
Roseville, CA 95747-6291

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X12012 (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 1679254494

Kelly Douglass, SLP's National Provider Identifier is 1679254494, issued on Jul 25, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Roseville, CA. The record was last updated on Jul 25, 2023.