Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kemi Doris-Destinie Pollock, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1730795865

Kemi Doris-Destinie Pollock, MS, CCC-SLP is a Qualified Speech Language Pathologist in Stafford, Virginia. Qualified in 2020, 6 years ago. Practices with Essential OT PT SLP and Psychology Services PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Maryland, New York and Virginia.

Years since qualifying
6
Licensed in
MD, NY, VA
In the registry since
2020
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science 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

9 Cromwell Ct
Stafford, VA 22554-8810
Phone: (540) 422-9066
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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 031871 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 02149L (MD)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2202010087 (VA)

Record details

NPI number1730795865
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 23, 2020
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Essential Ot Pt Slp And Psychology Services Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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