Kelly Gawel, CCC-SLP/L
Individual provider Active NPI Speech-Language Pathologist · Winston, GA
NPI 1477063600 · NPPES record last updated Oct 2, 2017
Key facts
- NPI
- 1477063600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP009842 (GA)
- Practice address
- 7824 Tyree Rd
Winston, GA 30187-1230 - Phone
- (770) 990-5989
- NPI assigned
- Oct 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP009842 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Clinic for Speech and Language LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP009842 | GA | Yes |
Addresses
Primary practice location
7824 Tyree Rd
Winston, GA 30187-1230
Mailing address
7824 Tyree Rd
Winston, GA 30187-1230
Phone (770) 990-5989
Other providers in Winston, GA
- Foroogh Elguindi
- Alexandria Ernest
- Evolutionary Minds LLC
- Wendy Flory
- Tawanna Kay Frazier Lumpkins
- Gracepoint Restoration LLC
- Carrie Hand
- Lauren Huff
- Ilive Home Care Services
- Itelya Jackson
All providers in Winston, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2017. 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.