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

Individual provider Speech-Language Pathologist · NPI 1942081336

Michaela Rose Kelly, CCC-SLP is a Speech-Language Pathologist in Seaford, New York. Licensed in New York and Tennessee. Registered with an NPI since 2023.

Licensed in
NY, TN
In the registry since
2023
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

3559 Merrick Rd
Seaford, NY 11783-2833
Phone: (516) 639-4021
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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 033366 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 7745 (TN)

Record details

NPI number1942081336
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 11, 2023
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023

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