- Practice location
- 126 Western Ave # 123, Augusta, ME 04330-7249
- Phone
- 207-830-1380
- Fax
- —
- Last updated
- January 3, 2022
Kelly Blackwell is a Speech-Language Pathologist, based in Augusta, ME. Kelly Blackwell practices in Augusta, ME and has the professional credentials of MA, CCC-SLP. The NPI Number for Kelly Blackwell is 1801142765 and holds a License No. ST2194 (ME). The current practice location address for Kelly Blackwell is 126 Western Ave # 123, Augusta, ME 04330-7249 and can be reached out via phone at 207-830-1380.
Provider Profile Details
- NPI Number
- 1801142765
- Provider Name
- Kelly Blackwell
- Credential
- MA, CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 126 Western Ave # 123, Augusta, ME 04330-7249
- Phone Number
- 207-830-1380
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 30, 2012
- Last Update Date
- January 3, 2022
- Certification Date
- January 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 126 Western Ave # 123
Augusta, ME 04330-7249 - City
- Augusta
- State
- Maine
- Zip
- 04330-7249
- Phone Number
- 207-830-1380
Provider Business Mailing Address Details
- Address
- 126 Western Ave # 123
Augusta, ME 04330-7249 - City
- Augusta
- State
- ME
- Zip
- 04330-7249
- Phone Number
- 207-830-1380
License Information
- License Number (1)
- ST2194
- License State (1)
- ME
- Taxonomy (1)
- Speech-Language Pathologist, · 235Z00000X
- License Number (2)
- SP2350
- License State (2)
- ME
- Taxonomy (2)
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Augusta, ME
View all Speech-Language Pathologist, providers in Augusta →- Eileen Bayer, MA CCC SLPSpeech-Language Pathologist, · NPI 1083788061
- Erika DevineSpeech-Language Pathologist, · NPI 1649837816
- Heather R Balleigh, MS SLP-CFSpeech-Language Pathologist, · NPI 1013722321
- Krista ButlerSpeech-Language Pathologist, · NPI 1851286611
- Linda J Coelho, MS, SLP-CCCSpeech-Language Pathologist, · NPI 1508180738
- Mckenna A BrodeurSpeech-Language Pathologist, · NPI 1053150631
Frequently Asked Questions
What is the NPI number of Kelly Blackwell, MA, CCC-SLP?
The NPI number of Kelly Blackwell, MA, CCC-SLP is 1801142765. It was assigned on July 30, 2012 and is currently active in the NPPES registry.
What is the specialty of Kelly Blackwell, MA, CCC-SLP?
Kelly Blackwell, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number ST2194.
Where does Kelly Blackwell, MA, CCC-SLP practice?
The practice location is 126 Western Ave # 123, Augusta, ME 04330-7249. The office can be reached at 207-830-1380 (phone).
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 1801142765 directly on the NPPES registry website.