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

Individual provider Speech-Language Pathologist · NPI 1285252569

Kelly Gracek, MA, CCC-SLP is a Speech-Language Pathologist in Ponte Vedra, Florida. Practices as a sole proprietor. Licensed in Florida and North Carolina.

Licensed in
FL, NC
In the registry since
2020
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

90 Fort Wade Rd Ste 100 #1017
Ponte Vedra, FL 32081
Phone: (904) 834-9796
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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 SA20900 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 30002434 (NC)

Record details

NPI number1285252569
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 13, 2020
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

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