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

Individual provider Speech-Language Pathologist · NPI 1275121006

Kelly Ann Shaughnessy, CCC-SLP is a Speech-Language Pathologist in Stockton, California. Practices as a sole proprietor. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2021
Specialties on file
2
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

3031 W March Ln # 17
Stockton, CA 95219-6500
Phone: (209) 952-2588
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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 SP31566 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 013223 (OR)

Record details

NPI number1275121006
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 7, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

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