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

Individual provider Speech-Language Pathologist · NPI 1750891529

Mrs. Kelly Jo Paulsen, MSCCC-SLP is a Speech-Language Pathologist in Peoria Heights, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
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Practice location Address checks out

911 E Euclid Ave
Peoria Heights, IL 61616-5312
Phone: (309) 682-8815
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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 146004766 (IL)

Record details

NPI number1750891529
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedOctober 6, 2017
Last updated in NPPESJune 16, 2018

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