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

Individual provider Speech-Language Pathologist · NPI 1508171091

Mrs. Kelly Ann McMillen, MACCCSLP is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
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Practice location Address checks out

3391 Richmond Ave
Staten Island, NY 10312-2025
Phone: (718) 608-9130
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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 0101651 (NY)

Record details

NPI number1508171091
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedAugust 10, 2010
Last updated in NPPESAugust 10, 2010

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