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

Individual provider Speech-Language Pathologist · NPI 1528282365

Mrs. Kelly Marie Fawcett, CCC-SLP is a Speech-Language Pathologist in Brandon, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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

602 Vonderburg Dr Ste 201
Brandon, FL 33511-5900
Phone: (813) 653-1149
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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 SZ 4023 (FL)

Record details

NPI number1528282365
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 31, 2008

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