Joseph Michael Keeney, SLP
Individual provider Active NPI Speech-Language Pathologist · Sodus, NY
NPI 1760767784 · NPPES record last updated Oct 21, 2011
Key facts
- NPI
- 1760767784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 018525 (NY)
- Practice address
- 54 Mill St
Sodus, NY 14551-9606 - Phone
- (315) 483-5282
- NPI assigned
- Oct 21, 2011
- Sex
- Male
- 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 | 018525 | NY | Yes |
Addresses
Primary practice location
54 Mill St
Sodus, NY 14551-9606
Mailing address
PO Box 220
Sodus, NY 14551-0220
Phone (315) 483-5282
Other providers in Sodus, NY
- Maria Hernandez
- Marissa Marie Holloway
- Michelle Jason
- Paula Jock
- Wendy Sue Johnson
- Kerry Lyn Kelly
- Niloal M Kijowski
- Weleed Langer
- Christopher Lehfeldt
- Dawn Marie Leone
All providers in Sodus, 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 Oct 21, 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.