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

Individual provider Speech-Language Pathologist · NPI 1922475391

Kathryn Ellsworth, MA, CCC-SLP is a Speech-Language Pathologist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

1000 3 Mile Rd NW Ste J
Grand Rapids, MI 49544-1650
Phone: (616) 327-6191
Fax: (616) 333-4928
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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 · Licence 7101004307 (MI)

Record details

NPI number1922475391
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 1, 2015
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

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