Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902374150 Individual Practitioner Female Practitioner

Kellie Bouren

Speech-Language Pathologist • Southfield, MI

Professional Overview & Biography Verified Profile Summary

Kellie Bouren is a registered healthcare professional specializing in Speech-Language Pathologist in Southfield, MI. Practice services are available at 30503 GREENFIELD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30503 Greenfield Rd

Southfield, MI 480761594

Telephone 2486914732
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Southfield, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
36 Specialists

Practicing in Southfield, MI (3778 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MI 7101000845

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.

Secondary Practice Locations

17150 Waterloo St

Grosse Pointe, MI 482301201

Phone: 3134734730

15959 Hall Rd

Macomb, MI 480445363

Phone: 5864166290

4949 Coolidge Hwy

Royal Oak, MI 480731026

Phone: 2486555975

6900 Orchard Lake Rd

West Bloomfield, MI 483223405

Phone: 2488554480

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jessica Coppiellie

Speech-Language Pathologist

NPI 1679041750
Kaitlyn Hill

Speech-Language Pathologist

NPI 1710455035
Cari Socia , MA, CCC-SLP

Speech-Language Pathologist

NPI 1811303175

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location December 30, 2024

Registered at 30503 GREENFIELD RD, SOUTHFIELD, MI 480761594 (Tel: 2486914732)

NPI Profile Active November 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2018

Registered at 4949 COOLIDGE HWY, ROYAL OAK, MI 480731026 (Tel: 2486555975)

📍
Updated Business Mailing Address November 06, 2018

Registered at 4949 COOLIDGE HWY, ROYAL OAK, MI 480731026 (Tel: 2486555975)

👤
Provider Name / Credentials Updated November 06, 2018

Recorded as KELLIE BOUREN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2018

Speech-Language Pathologist (License #7101000845 in MI)

🟢
Initial NPI Registration & Enumeration November 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902374150
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2018
Last Update: December 30, 2024
Sole Proprietor: Yes

Mailing Address

4949 Coolidge Hwy

Royal Oak, MI 480731026

Phone: 2486555975

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.