P Praxis·MD
● Active Type 1 · Individual

Susan Deanne Kelley, M.A., CCC-SLP

Speech-Language Pathologist·Bryan, TX· NPI 1316217805 · Enumerated 2011 · 14 years on NPI
Kelley is 1 of 44 speech-language pathologist providers in Bryan and 1 of 18055 in Texas.
NPI age
14 years
Enumerated 2011-12-30
Primary specialty
Speech-Language Pathologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 18055 active speech-language pathologist providers in Texas.

NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-12Enumerated in NPPES
2011 2026

Where they practice

Practice location
4091 Eastchester Dr
Bryan, TX 778024735
📞 2283267133fax 9797765096
Mailing address
800 Marion Pugh Dr, Apt 901
College Station, TX 778402746
📞 2283267133fax 9797765096

Specialties

  • Speech-Language Pathologist Primary
    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...
    TX license #104778 taxonomy 235Z00000X

Identifiers

TypeValueNotes
01 01030667 ASHA CERTIFICATION NUMBER
01 (TX) 104778 LICENSE TO PRACTICE

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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