Kelli Doty, MA/CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Victoria, MN
NPI 1295030906 · NPPES record last updated Jan 12, 2011
Key facts
- NPI
- 1295030906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 8498 (MN)
- Practice address
- 1772 Steiger Lake LN
Suite 100
Victoria, MN 55386-7723 - Phone
- (952) 443-9888
- NPI assigned
- Jan 12, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8498 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Public Schools | Speech-Language Pathologist | Current | Accepting new patients |
| Kid Talk Inc | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8498 | MN | Yes |
Addresses
Primary practice location
1772 Steiger Lake LN
Suite 100
Victoria, MN 55386-7723
Mailing address
1772 Steiger Lake LN
Suite 100
Victoria, MN 55386-7723
Phone (952) 443-9888
Other providers in Victoria, MN
- Community Living Inc.
- Community Living Inc.
- Community Living Inc.
- Community Living Inc.
- Kimberli Kaye Dieken
- Katie Lynn Eckhoff
- Lindsay Jo Eggen
- Richele Ehardt
- Empowered by Speech LLC
- Jacqueline Elizabeth Erhart
All providers in Victoria, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.