Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katelyn Marie Spencer, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1073174561

Katelyn Marie Spencer, CCC-SLP is a Qualified Speech Language Pathologist in Haslet, Texas. Qualified in 2018, 8 years ago. Practices with Marvel Orofacial Myofunctional Therapy, a 2-clinician group and offers telehealth.

Years since qualifying
8
In the registry since
2019
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

14625 San Madrid Trl
Haslet, TX 76052-1199
Phone: (469) 865-8057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1073174561
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJune 25, 2019
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Marvel Orofacial Myofunctional Therapy — 2 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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