Vicki L Kirchner

Individual provider Active NPI Speech-Language Pathologist · Lake Placid, NY

NPI 1154632115 · NPPES record last updated Jun 24, 2010

Key facts

NPI
1154632115
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
019878-1 (NY)
Practice address
318 Old Military Rd
Lake Placid, NY 12946-1811
Phone
(518) 523-3640
NPI assigned
Jun 24, 2010
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

LicenseStateTypeSpecialty
019878-1NYMDSurgical Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 019878-1 NY Yes

Addresses

Primary practice location

318 Old Military Rd
Lake Placid, NY 12946-1811

Mailing address

318 Old Military Rd
Lake Placid, NY 12946-1811
Phone (518) 523-3640

Other providers in Lake Placid, NY

All providers in Lake Placid, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.