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

Individual provider Speech-Language Pathologist · NPI 1801142765

Kelly Blackwell, MA, CCC-SLP is a Speech-Language Pathologist in Augusta, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2012
Specialties on file
2
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

126 Western Ave # 123
Augusta, ME 04330-7249
Phone: (207) 830-1380
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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 SP2350 (ME)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence ST2194 (ME)

Record details

NPI number1801142765
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 30, 2012
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022

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