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

Individual provider Speech-Language Pathologist · NPI 1114583051

Miss. Kelsi Nicole Smith, CCC-SLP is a Speech-Language Pathologist in Fairport, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
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

41 Oconnor Rd
Fairport, NY 14450-1327
Phone: (585) 249-7094
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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 030446 (NY)

Record details

NPI number1114583051
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMay 16, 2019
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

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