Kellogg Speech Language Learning Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KELLOGG SPEECH LANGUAGE LEARNING SERVICES

Practice address

8323 Office Park Dr Ste C4
Grand Blanc, MI 48439-2068

Phone

(810) 730-4110

NPI assigned

Feb 10, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn KelloggNPI 1689213373

Title

Owner

Phone

(810) 730-4110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Kellogg

  • Speech-Language Pathologist
  • Grand Blanc, MI
  • NPI 1689213373
  Authorized official Same address or phone

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1780216580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 CRANES CV",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191368",
            "telephone_number": "810-730-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323 OFFICE PARK DR STE C4",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392068",
            "telephone_number": "810-730-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLOGG SPEECH LANGUAGE LEARNING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-730-4110"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Shozab Kazim, DO
• Allison Sokol Keel, D.O.
• Matthew Thomas Keely, RN
• Elissa Keller
• Teresa Lynn Keller, PTA
• Kathryn Kellogg
• Kristin Marie Kelly, PT
• Theresa Waurzyniak Kelly, LMSW
• Veronica Kelly, M.A.
• Nicole Kemp

• Speech-Language Pathologist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.