Kaysierra Allen, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Canandaigua, NY
NPI 1619703162 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1619703162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 034647 (NY)
- Practice address
- 96 W Gibson St
Canandaigua, NY 14424-1453 - Phone
- (585) 396-3900
- NPI assigned
- Sep 11, 2024
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034647 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 034647 | NY | Yes |
Addresses
Primary practice location
96 W Gibson St
Canandaigua, NY 14424-1453
Mailing address
2341 County Road 129
Romulus, NY 14541-9403
Other providers in Canandaigua, NY
- Mary Ellen Alescio
- Lori W Alexander
- Nancy A Alexander
- Angela Allen
- Christine Marie Allen
- Paul Garfield Allen
- R. Douglas Alling
- Nancy M Allison
- Judith Almekinder
- Jacob Jeffrey Altmire
All providers in Canandaigua, 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 Nov 6, 2025. 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.