Active NPI
Korrine Ann Laduc, MA CCC-SLP
- Speech-Language Pathologist
- Oswego, NY
National Provider Identifier
1780960112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017627-1
- Practice address
- 2 Buccaneer Blvd
Oswego High School
Oswego, NY 13126-1951 - Phone
- (315) 341-2200
- NPI assigned
- Oct 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 017627-1 | NY | Primary |
Addresses
Primary practice location
2 Buccaneer Blvd
Oswego High School
Oswego, NY 13126-1951
Mailing address
566 S Main St
Apt D206
Central Square, NY 13036-8707
Phone (315) 256-7796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017627-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1780960112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 S MAIN ST",
"address_2": "APT D206",
"city": "CENTRAL SQUARE",
"state": "NY",
"postal_code": "130368707",
"telephone_number": "315-256-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BUCCANEER BLVD",
"address_2": "OSWEGO HIGH SCHOOL",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261951",
"telephone_number": "315-341-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADUC",
"first_name": "KORRINE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017627-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.