IndividualActive
Shannon Kelly, SLP
NPI 1679084172 · Speech-Language Pathologist · Waco, TX
Provider details
- NPI number
- 1679084172
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 113034 (TX)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
900 Washington Ave Ste 602
Waco, TX 76701-1283
Phone: (254) 296-9792
Approximate (ZIP-level) locationGet directions
Mailing address
900 Washington Ave Ste 602
Waco, TX 76701-1283
Additional practice locations (1)
- 4300 Sigma RdDallas, TX 75244-4422Phone: (972) 630-6369
Registry dates
- Enumerated
- 2017-10-24
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.