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

Individual provider Speech-Language Pathologist · NPI 1720713381

Kelly Mickler, MS, CCC-SLP is a Speech-Language Pathologist in San Diego, California. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science 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

9620 Chesapeake Dr Ste 105
San Diego, CA 92123-1324
Phone: (845) 499-4001
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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 032085 (NY)

Record details

NPI number1720713381
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 19, 2022
Last updated in NPPESMarch 25, 2025
Certification dateMarch 19, 2025

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