Kristy Hogan Littell, SLP-CCC

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

NPI 1194955237 · NPPES record last updated Jul 23, 2009

Key facts

NPI
1194955237
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
012990-1 (NY)
Practice address
17500 County Route 59
Dexter, NY 13634-2028
Phone
(315) 639-4198
NPI assigned
Jul 23, 2009
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
012990-1NYMDMedical Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 012990-1 NY Yes

Addresses

Primary practice location

17500 County Route 59
Dexter, NY 13634-2028

Mailing address

17500 County Route 59
Dexter, NY 13634-2028
Phone (315) 639-4198

Other providers in Dexter, NY

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

Sources for this page

Verify at the official NPI Registry.