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

Individual provider Speech-Language Pathologist · NPI 1699515767

Mia Kelly Patterson, MS, CF-SLP is a Qualified Speech Language Pathologist in Saint Louis, Missouri. Qualified in 2024, 2 years ago. Practices with Smart Rehab, LLC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

12563 Village Circle Dr
Saint Louis, MO 63127-1758
Phone: (314) 593-0834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15201 Olive Blvd, Chesterfield, MO 63017-1810 — (636) 898-8500

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (MO)

Record details

NPI number1699515767
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CF-SLP
Sole proprietorYes
NPI enumeratedMay 28, 2024
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Smart Rehab, Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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