Claudia L Calaceto, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Shady, NY
NPI 1679718795 · NPPES record last updated Dec 3, 2008
Key facts
- NPI
- 1679718795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 008486-1 (NY)
- Practice address
- 33 Frederick Dr
Shady, NY 12409-0412 - Phone
- (845) 679-4655
- Fax
- (845) 679-4655
- NPI assigned
- Dec 3, 2008
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008486-1 | NY | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 008486-1 | NY | Yes |
Addresses
Primary practice location
33 Frederick Dr
Shady, NY 12409-0412
Mailing address
PO Box 412
Bearsville, NY 12409-0412
Phone (845) 679-4655
Other providers in Shady, NY
All providers in Shady, 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 Dec 3, 2008. 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.