Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679878896 Individual Practitioner Female Practitioner

Glenda Kelley , CCC, SLP

Speech-Language Pathologist • Diboll, TX

Professional Overview & Biography Verified Profile Summary

Glenda Kelley, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Diboll, TX. Practice services are available at 215 N TEMPLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

215 N Temple Dr

Diboll, TX 759411701

Telephone 9368293100

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Diboll, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Diboll, TX (17210 Statewide)

Telehealth Adoption Rate
0.0% 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: 2022-02-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 14979

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1679878896 (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Natalie Dejesus

Speech-Language Pathologist

NPI 1437911625
Ashtin Cook , SLP

Speech-Language Pathologist

NPI 1871101220

Speech-Language Pathologist

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address February 22, 2022

Registered at 215 N TEMPLE DR, DIBOLL, TX 759411701 (Tel: 9365264857)

📍
Updated Practice Location November 15, 2021

Registered at 215 N TEMPLE DR, DIBOLL, TX 759411701 (Tel: 9368293100)

📍
Updated Business Mailing Address November 15, 2021

Registered at 805 WILDBRIAR DR, LUFKIN, TX 759044513 (Tel: 9365264857)

👤
Provider Name / Credentials Updated November 15, 2021

Recorded as GLENDA KELLEY, CCC/SLP

NPI Profile Active January 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2011

Registered at 1302 TOM TEMPLE DR, LUFKIN, TX 759045581 (Tel: 9366340490)

📍
Updated Business Mailing Address January 19, 2011

Registered at 4109 HIGHWAY 98 W, SUMMIT, MS 396669132

👤
Provider Name / Credentials Updated January 19, 2011

Recorded as GLENDA KELLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2011

Speech-Language Pathologist (License #14979 in TX)

🟢
Initial NPI Registration & Enumeration January 19, 2011

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: 1679878896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2011
Last Update: February 22, 2022
Sole Proprietor: Yes

Mailing Address

215 N Temple Dr

Diboll, TX 759411701

Phone: 9365264857

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.