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

Individual provider Speech-Language Pathologist · NPI 1871983783

Mrs. Kristie Reece Knickerbocker, CCC-SLP is a Qualified Speech Language Pathologist in Fort Worth, Texas. Qualified in 2012, 14 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2015
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

1250 8th Ave Ste 135
Fort Worth, TX 76104-4156
Phone: (817) 332-8848
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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 107679 (TX)

Record details

NPI number1871983783
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 29, 2015
Last updated in NPPESJanuary 29, 2015

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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