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

Kelly Rae Stapp

Individual provider Speech-Language Assistant · NPI 1710691175

Kelly Rae Stapp is a Speech-Language Assistant in Pacoima, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

13066 Van Nuys Blvd
Pacoima, CA 91331-2576
Phone: (818) 206-3353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X (CA)

Record details

NPI number1710691175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2023
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023
Mailing address17216 Saticoy St, Van Nuys, CA 91406-2103

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