Kathryn Baillie
Individual provider Active NPI Speech-Language Pathologist · Barneveld, NY
NPI 1447564455 · NPPES record last updated Aug 2, 2010
Key facts
- NPI
- 1447564455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 017006 (NY)
- Practice address
- 8365 Sand Rd
Barneveld, NY 13304-2214 - Phone
- (315) 525-3653
- NPI assigned
- Aug 2, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 017006 | NY | Yes |
Addresses
Primary practice location
8365 Sand Rd
Barneveld, NY 13304-2214
Mailing address
8365 Sand Rd
Barneveld, NY 13304-2214
Phone (315) 525-3653
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All providers in Barneveld, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2010. 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.