Individual provider · Type 1 NPI

Kelly Jean Phelps, CCC-SLP

Speech-Language Pathologist · Manitowoc, WI

NPI number 1679428619 Active

Practice location

2502 S 14th St
Manitowoc, WI 54220-6499

Call (920) 663-9311 Map

Mailing address

4838 W Custer St
Manitowoc, WI 54220-9309

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X711784 (WI)

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 1679428619

Kelly Jean Phelps, CCC-SLP's National Provider Identifier is 1679428619, issued on Mar 4, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Manitowoc, WI. The record was last updated on Mar 4, 2026.