Kalisandra G Bussey
Individual provider Active NPI Speech-Language Pathologist · Wilmington, DE
NPI 1013688191 · NPPES record last updated Sep 28, 2021
Key facts
- NPI
- 1013688191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- O1-0012015 (DE)
- Practice address
- 2000 Pennsylvania Ave Apt 436
Wilmington, DE 19806-2465 - Phone
- (732) 904-1886
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O1-0012015 | DE | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | O1-0012015 | DE | Yes |
Addresses
Primary practice location
2000 Pennsylvania Ave Apt 436
Wilmington, DE 19806-2465
Mailing address
2000 Pennsylvania Ave Apt 436
Wilmington, DE 19806-2465
Other providers in Wilmington, DE
- Victoria Burton
- April Michelle Bush
- Dolores Maria Bush I
- Russel Damien Buskirk
- Gordon A Bussard
- Ilian Bustos
- Colleen Butcher
- Stephanie Butler
- Julie A. Buzzelli
- BW Family Medical Center
All providers in Wilmington, DE · Speech-Language Pathologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.