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

Individual provider Speech-Language Pathologist · NPI 1265830491

Mrs. Kelly Sue Smith, MA, CCC-SLP is a Speech-Language Pathologist in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona, Florida and Texas.

Licensed in
AZ, FL, TX
In the registry since
2014
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

210 Starpine Pl Unit A
Prescott, AZ 86303-7017
Phone: (928) 606-5606
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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 SLP 8850 (AZ)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 109515 (TX)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SA 12803 (FL)

Record details

NPI number1265830491
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 22, 2014
Last updated in NPPESDecember 22, 2014

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