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

Kelly Robertson, MACCC/SLP

Individual provider Speech-Language Pathologist · NPI 1104148451

Kelly Robertson, MACCC/SLP is a Speech-Language Pathologist in Lake Wylie, South Carolina. Practices as a sole proprietor. Licensed in Florida and South Carolina.

Licensed in
FL, SC
In the registry since
2010
Specialties on file
2

Practice location Address checks out

188 Evergreen Rd
Lake Wylie, SC 29710-9001
Phone: (407) 690-2056
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5367 (SC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SA 9884 (FL)

Record details

NPI number1104148451
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC/SLP
Sole proprietorYes
NPI enumeratedFebruary 26, 2010
Last updated in NPPESFebruary 28, 2014

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