Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Lyn Grant, MSED, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1205132495

Kelly Lyn Grant, MSED, CCC-SLP is a Speech-Language Pathologist in Richmondville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

1353 State Route 7
Richmondville, NY 12149-2303
Phone: (518) 234-3565
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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 010332-1 (NY)

Record details

NPI number1205132495
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 4, 2011
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

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