Kimberly Ann Nelson, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Williamsville, NY
NPI 1780997635 · NPPES record last updated Jul 21, 2010
Key facts
- NPI
- 1780997635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 019278 (NY)
- Practice address
- 4444 Bryant Stratton Way
Williamsville, NY 14221-6013 - Phone
- (716) 631-5777
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019278 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autistic Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 019278 | NY | Yes |
Addresses
Primary practice location
4444 Bryant Stratton Way
Williamsville, NY 14221-6013
Mailing address
4444 Bryant Stratton Way
Williamsville, NY 14221-6013
Phone (716) 631-5777
Other providers in Williamsville, NY
- Katherine Jeannette Neely
- Kristen Neil
- Nicole Neilson
- Joseph Bruce Neiman
- David Nelson
- Michelle Renee Nemeth
- Sharlene Marie Nesselbeck
- Jeffery R Neu
- David S Newberger
- Micheleen Newell
All providers in Williamsville, 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 Jul 21, 2010. 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.