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

Individual provider Speech-Language Pathologist · NPI 1053729202

Michelle Kelly, CCC-SLP is a Speech-Language Pathologist in Midland Park, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2014
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

85 Godwin Ave
Midland Park, NJ 07432-1970
Phone: (201) 639-8870
Fax: (201) 639-8874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 79 Lloyd Rd, Ho Ho Kus, NJ 07423-1549 — (201) 788-1246

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS00654800 (NJ)

Record details

NPI number1053729202
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 31, 2014
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

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