IndividualActive
Kelly Bonnette, MA CCCSLP
NPI 1407973852 · Speech-Language Pathologist · Easton, MD
Provider details
- NPI number
- 1407973852
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA CCCSLP
- Sex
- Female
- Sole proprietor
- No
- License
- 4044 (MD)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
29000 Information Ln Ste 300
Easton, MD 21601-7038
Phone: (410) 822-2213
Street-level locationGet directions
Mailing address
29000 Information Ln Ste 300
Easton, MD 21601-7038
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.