Individual provider · Type 1 NPI

Kelly Shaw, MS CCC-SLP

Speech-Language Pathologist · Kenosha, WI

NPI number 1790049807 Active

Practice location

5219 88th Ave
Kenosha, WI 53144-7468

Call (262) 653-0850 Map

Mailing address

14460 W Honey Ln
New Berlin, WI 53151-2314

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X3456-154 (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 1790049807

Kelly Shaw, MS CCC-SLP's National Provider Identifier is 1790049807, issued on Jul 3, 2012. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Kenosha, WI. The record was last updated on Jul 3, 2012.