IndividualActive
Kellie Woehlke, MA, CCC-SLP
NPI 1104452697 · Speech-Language Pathologist · Plymouth, MI
Provider details
- NPI number
- 1104452697
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 7101000187 (MI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
46200 Port St
Plymouth, MI 48170-6048
Phone: (734) 454-0866
Street-level locationGet directions
Mailing address
50190 Van Buren St
Canton, MI 48188-2884
Registry dates
- Enumerated
- 2020-03-17
- Last updated
- 2020-03-17
- Certified
- 2020-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.