KELLY BLACKWELL MA CCC-SLP NPI 1801142765

NPI Information

  • NPI: 1801142765
  • Provider Name: KELLY BLACKWELL, MA, CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 126 WESTERN AVE # 123
    AUGUSTA, ME
    ZIP 04330
  • Phone: (207) 830-1380

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NPI Details

Kelly Blackwell, MA, CCC-SLP is a speech language pathologist in Augusta, ME. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Kelly Blackwell, MA, CCC-SLP NPI is 1801142765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

126 WESTERN AVE # 123
AUGUSTA, ME
ZIP 04330-249
Phone: (207) 830-1380

The enumeration date for this NPI number is 7/30/2012 and was last updated on 1/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistST2194MAINENo
2235Z00000XSpeech-Language PathologistSP2350MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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