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

Logan Macrae Ellis Wiley, MAED, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1174197370

Logan Macrae Ellis Wiley, MAED, CCC-SLP is a Speech-Language Pathologist in Lawrenceburg, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2021
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

1512 Harrodsburg Rd
Lawrenceburg, KY 40342-9207
Phone: (859) 339-8681
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 270292 (KY)

Record details

NPI number1174197370
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAED , CCC-SLP
Sole proprietorYes
NPI enumeratedMay 13, 2021
Last updated in NPPESAugust 6, 2025
Certification dateAugust 5, 2025

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