Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristi Diane Pelletier, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1114268992

Mrs. Kristi Diane Pelletier, MACCC-SLP is a Qualified Speech Language Pathologist in San Antonio, Texas. Qualified in 2007, 19 years ago. Practices with Boerne Speech Therapy LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
19
Licensed in
TX
In the registry since
2013
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Practice location Address checks out

2203 Babcock Rd
San Antonio, TX 78229-4412
Phone: (210) 614-3911
Fax: (210) 625-3162
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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 103619 (TX)

Record details

NPI number1114268992
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMarch 4, 2013
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Boerne Speech Therapy Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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