Active NPIIndividual providerSole proprietor

Kelly M Brennan, MS-CCC-SLP

Speech-Language Pathologist, in Shrewsbury, Massachusetts

NPI Number1164630075
Practice location
214 Lake St, Child Development Center, Shrewsbury, MA 01545-3960
Fax
508-845-2783
Last updated
April 6, 2021

Kelly Marie Brennan is a Speech-Language Pathologist, based in Shrewsbury, MA. Kelly Marie Brennan practices in Shrewsbury, MA and has the professional credentials of MS-CCC-SLP. The NPI Number for Kelly Marie Brennan is 1164630075 and holds a License No. 12068249 (MA). The current practice location address for Kelly Marie Brennan is 214 Lake St, Child Development Center, Shrewsbury, MA 01545-3960 and can be reached out via phone at 508-856-4202 and via fax at 508-845-2783.

Provider Profile Details

NPI Number
1164630075
Provider Name
Kelly Marie Brennan
Credential
MS-CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
214 Lake St, Child Development Center, Shrewsbury, MA 01545-3960
Phone Number
508-856-4202
Fax Number
508-845-2783
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2007
Last Update Date
April 6, 2021
Certification Date
April 6, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
214 Lake St
Child Development Center
Shrewsbury, MA 01545-3960
Zip
01545-3960
Phone Number
508-856-4202
Fax Number
508-845-2783
Shrewsbury, MA 01545Get directions →

Provider Business Mailing Address Details

Address
20 Franconia St
Worcester, MA 01602-2604
City
Worcester
State
MA
Zip
01602-2604
Phone Number
617-501-8753
Fax Number
508-519-0241

License Information

License Number
12068249
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly M Brennan, MS-CCC-SLP?

The NPI number of Kelly M Brennan, MS-CCC-SLP is 1164630075. It was assigned on May 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Kelly M Brennan, MS-CCC-SLP?

Kelly M Brennan, MS-CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 12068249.

Where does Kelly M Brennan, MS-CCC-SLP practice?

The practice location is 214 Lake St, Child Development Center, Shrewsbury, MA 01545-3960. The office can be reached at 508-856-4202 (phone) or 508-845-2783 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164630075 directly on the NPPES registry website.

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