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

Individual provider Speech-Language Pathologist · NPI 1780083097

Kellyn Wickert, MA, CCC-SLP is a Speech-Language Pathologist in Unionville, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts 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

803 S 20th St
Unionville, MO 63565-1482
Phone: (660) 947-3361
Fax: (660) 947-2912
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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 2014025275 (MO)

Record details

NPI number1780083097
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 22, 2014
Last updated in NPPESAugust 22, 2014
Mailing address803 S 20th St, Unionville, MO 63565-1482

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