MEDICARE: JENNA KELLOGG M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	120708	TX

General Provider Information

NPI Number	:	1336904200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA KELLOGG M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	716 SADDLE MOUNTAIN RD
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78628-2134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	716 SADDLE MOUNTAIN RD
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78628-2134
Country	:	US
Telephone Number	:	940-531-2442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2024
Last Update Date	:	02/19/2024

Similar Medicare Providers

1801838453 — MRS. BETHANY HAWKINS-PARRY LCSW
Practice Location Address:

113 W NORTH ST
GEORGETOWN, DE
19947-2134

Practice Phone: 302-245-4254
Practice Fax: 302-544-4580

1124460043 — KATHARINE NEWQUIST SNYDER LCSW
Practice Location Address:

113 W NORTH ST
GEORGETOWN, DE
19947-2134

Practice Phone: 302-381-7283
Practice Fax:

1477081321 — KNS COUNSELING SERVICES, LLC
Practice Location Address:

113 W NORTH ST
GEORGETOWN, DE
19947-2134

Practice Phone: 302-381-7283
Practice Fax: 302-258-0851

1942597455 — MRS. JOAN COLLEEN RUSSELL LPC
Practice Location Address:

3008 DAWN DR STE 101
GEORGETOWN, TX
78628-2822

Practice Phone: 254-624-5155
Practice Fax:

1346807583 — DR. STEPHEN LEE SMITH DPM
Practice Location Address:

3007 DAWN DR STE 101
GEORGETOWN, TX
78628-2864

Practice Phone: 512-819-4555
Practice Fax:

1649209503 — RENEE KUKLA PIETZSCH DPM
Practice Location Address:

3007 DAWN DR STE 101
GEORGETOWN, TX
78628-2864

Practice Phone: 512-819-4555
Practice Fax: 512-819-4559

Directions to “ JENNA KELLOGG M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.