Heather Rae Adamson Kennedy, SLP
Individual provider Active NPI Speech-Language Pathologist · Bolton Landing, NY
NPI 1487987202 · NPPES record last updated Jan 24, 2011
Key facts
- NPI
- 1487987202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 019466 (NY)
- Practice address
- 5 Whitetail LN
Bolton Landing, NY 12814-3432 - Phone
- (518) 644-3180
- NPI assigned
- Sep 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 019466 | NY | Yes |
Addresses
Primary practice location
5 Whitetail LN
Bolton Landing, NY 12814-3432
Mailing address
5 Whitetail LN
Bolton Landing, NY 12814-3432
Phone (518) 644-3180
Other providers in Bolton Landing, NY
- Laurie J. Blanchard
- Bolton Central School District
- Bolton Emergency Medical Services, Incorporated
- Kaitlin M Burke
- John F Derossi
All providers in Bolton Landing, 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 Jan 24, 2011. 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.