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

Individual provider Speech-Language Pathologist · NPI 1629746789

Kelsey Macieunas, CCC-SLP is a Speech-Language Pathologist in Jacksonville, Florida. Licensed in Florida and Pennsylvania. Registered with an NPI since 2021.

Licensed in
FL, PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
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

4929 Skyway Dr Apt 4203
Jacksonville, FL 32246-0043
Phone: (570) 401-0423
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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 SA19655 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SL015761 (PA)

Record details

NPI number1629746789
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 2, 2021
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024

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