Bethany Kinkaid, SLP

Individual provider Active NPI Speech-Language Pathologist · East Rockaway, NY

NPI 1346597135 · NPPES record last updated Sep 27, 2012

Key facts

NPI
1346597135
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
022299 (NY)
Practice address
443 Ocean Ave
East Rockaway, NY 11518-1237
Phone
(516) 887-8300
NPI assigned
Aug 10, 2012
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)
Yes
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
East Rockaway Ufsd Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 022299 NY Yes

Addresses

Primary practice location

443 Ocean Ave
East Rockaway, NY 11518-1237

Mailing address

9 Furrow PL
Miller Place, NY 11764-2433
Phone (631) 721-5493

Other providers in East Rockaway, NY

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

Sources for this page

Verify at the official NPI Registry.