Kaitlyn Marie Seaholm

Individual provider Active NPI Speech-Language Pathologist · Belmont, NY

NPI 1194558700 · NPPES record last updated Aug 21, 2024

Key facts

NPI
1194558700
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
5536 County Road 48
Belmont, NY 14813-9746
Phone
(585) 268-5681
NPI assigned
Aug 21, 2024
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

Specialties & licenses

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

Addresses

Primary practice location

5536 County Road 48
Belmont, NY 14813-9746

Mailing address

3265 Sprague Hill Rd
Falconer, NY 14733-9753
Phone (716) 720-3064

Other providers in Belmont, NY

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

Sources for this page

Verify at the official NPI Registry.