Kristin Cobb, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Cohoes, NY
NPI 1104248442 · NPPES record last updated Mar 17, 2020
Key facts
- NPI
- 1104248442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 024410-1 (NY)
- Practice address
- 6 Rudolph CT
Cohoes, NY 12047-1507 - Phone
- (518) 258-5330
- Fax
- (518) 274-5438
- NPI assigned
- Jan 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024410 | NY | MD | Orthopedic Physical Therapist |
| 024410-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity House of Troy, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X | 024410 | NY | |
| Speech-Language Pathologist | 235Z00000X | 024410-1 | NY | Yes |
Addresses
Primary practice location
6 Rudolph CT
Cohoes, NY 12047-1507
Mailing address
6 Rudolph CT
Cohoes, NY 12047-1507
Phone (518) 258-5330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104248442 | Medicaid | NY |
Other providers in Cohoes, NY
- Solomon Chang
- Thomas Chattathil
- Jodi Ann Chiovetta
- Karen Church
- Richard Anthony Ciulla
- Juliet Coffey
- Cohoes City School District
- Cohoes Eye Associates, LLC
- Cohoes Multi-Service Senior Citizens Center, Inc.
- Cohoes Physicians PC
All providers in Cohoes, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2020. 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.