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

Individual provider Speech-Language Pathologist · NPI 1578896460

Kelly Mack, SLP is a Speech-Language Pathologist in Boulder, Colorado. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

2124 16th St
Boulder, CO 80302-4354
Phone: (530) 230-7429
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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 15946 (CA)

Record details

NPI number1578896460
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedSeptember 10, 2009
Last updated in NPPESAugust 6, 2011
Mailing address2124 16th St, Boulder, CO 80302-4354

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