Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Kellogg, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1053713131

Ellen Kellogg, MACCC-SLP is a Speech-Language Pathologist in Palm Coast, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

393 Palm Coast Pkwy SW
Palm Coast, FL 32137-4773
Phone: (585) 202-2745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA10093 (FL)

Record details

NPI number1053713131
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 21, 2014
Last updated in NPPESSeptember 21, 2014
Mailing addressPo Box 748, Flagler Beach, FL 32136-0748

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