Kelsey C Sjolund, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Tribeca, NY
NPI 1366087868 · NPPES record last updated Nov 8, 2019
Key facts
- NPI
- 1366087868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- Speak Out New York
100 Reade Street C/O Gymboree
Tribeca, NY 10013 - Phone
- (732) 841-3291
- NPI assigned
- Nov 8, 2019
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
Speak Out New York
100 Reade Street C/O Gymboree
Tribeca, NY 10013
Mailing address
100 John St Apt 2608
New York, NY 10038-3897
Phone (732) 841-3291
Other practice location 1
100 John St Apt 2608
New York, NY 10038-3897
Phone (732) 841-3291
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.