Kelsey Jean Lyndes Glynn, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-SP-LIC-11683 Issued in MT

Practice address

PO Box 162
Missoula, MT 59806-0162

Phone

(406) 285-1989

NPI assigned

Apr 29, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Early Blossoms Speech Therapy

  • Speech-Language Pathologist
  • Missoula, MT
  • NPI 1114750114
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1265015184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598060162",
            "telephone_number": "406-285-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598060162",
            "telephone_number": "406-285-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "KELSEY",
        "middle_name": "JEAN LYNDES",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-LIC-11683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Blumenson LCSW PLLC
• Brandi Glibbery, NP
• Markie Collins Glidewell, PHARMD, RPH
• Treasa Glinnwater, LCSW
• Steven David Glow, FNP
• Donald E Goeke, PHD, LCSW
• Anisa N Goforth, PHD, NCSP
• Alysha Goheen, LCSW
• Golden Opportunities, LLC
• Coltin Jarrett Golden, DC

• Speech-Language Pathologist in Missoula, MT
• Providers in Missoula, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.