Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Mack, SLP

Individual provider Speech-Language Pathologist · NPI 1578896460

Kelly Mack, SLP is a Speech-Language Pathologist in Boulder, Colorado. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

2124 16th St
Boulder, CO 80302-4354
Phone: (530) 230-7429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 15946 (CA)

Record details

NPI number1578896460
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedSeptember 10, 2009
Last updated in NPPESAugust 6, 2011

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