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

Individual provider Speech-Language Pathologist · NPI 1811645617

Kelly Vandergiessen, MACCC-SLP is a Speech-Language Pathologist in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
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Practice location Address checks out

2282 Springport Rd
Jackson, MI 49202-1432
Phone: (517) 768-9791
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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 7101003528 (MI)

Record details

NPI number1811645617
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMarch 11, 2022
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022

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