Kellie Szkatulski, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · North Collins, NY

NPI 1144545757 · NPPES record last updated Aug 17, 2011

Key facts

NPI
1144545757
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
019808-1 (NY)
Practice address
10646 Applewood Rd
North Collins, NY 14111-9722
Phone
(716) 353-0373
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
019808-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Azam Baig,M.D. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 019808-1 NY Yes

Addresses

Primary practice location

10646 Applewood Rd
North Collins, NY 14111-9722

Mailing address

10646 Applewood Rd
North Collins, NY 14111-9722

Other providers in North Collins, NY

All providers in North Collins, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.