Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kelly Lee Jackson, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1447163449

Kelly Lee Jackson, MSCCC-SLP is a Speech-Language Pathologist in Galloway, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2026
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Practice location Address checks out

19 Greenwich Dr
Galloway, NJ 08205-3659
Phone: (732) 977-4936
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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 41YS01347500 (NJ)

Record details

NPI number1447163449
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 23, 2026
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

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