Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaylee A Petro, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1659870558

Kaylee A Petro, MS, CCC-SLP is a Qualified Speech Language Pathologist in Woodstock, Georgia. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California and Georgia.

Years since qualifying
3
Licensed in
CA, GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science 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

10917 Highway 92 Ste 130140
Woodstock, GA 30188-6329
Phone: (678) 447-1617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 334 Melrose Cir, Woodstock, GA 30188-6905 — (714) 287-8917

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 013183 (GA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 37387 (CA)

Record details

NPI number1659870558
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 6, 2018
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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