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

Individual provider Speech-Language Pathologist · NPI 1952724148

Miss. Kelly Ann Faller is a Speech-Language Pathologist in Port Jefferson Station, New York. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

167 Bergen St
Port Jefferson Station, NY 11776-2601
Phone: (631) 745-3674
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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

Record details

NPI number1952724148
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 24, 2014
Last updated in NPPESJanuary 24, 2014

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