Active NPI
K.D. Speech Pathology, PC
- Speech-Language Pathologist
- Mount Vernon, NY
National Provider Identifier
1528574654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 010385
- Legal business name
- K.D. SPEECH PATHOLOGY, PC
- Practice address
- 546 Westchester Ave
Mount Vernon, NY 10552-1037 - Phone
- (914) 393-7939
- NPI assigned
- Dec 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn M. Dwyer, SLP
- Title
- President
- Phone
- (914) 393-7939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 010385 | NY | Primary |
Addresses
Primary practice location
546 Westchester Ave
Mount Vernon, NY 10552-1037
Mailing address
546 Westchester Ave
Mount Vernon, NY 10552-1037
Phone (914) 393-7939
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514332800000",
"number": "1528574654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 WESTCHESTER AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521037",
"telephone_number": "914-393-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 WESTCHESTER AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521037",
"telephone_number": "914-393-7939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K.D. SPEECH PATHOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-27",
"last_updated": "2017-12-27",
"status": "A",
"authorized_official_last_name": "DWYER",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-393-7939",
"authorized_official_credential": "SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "010385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.