Kathleen Bellacicco
Individual provider Active NPI Speech-Language Pathologist · Milton, NY
NPI 1902051683 · NPPES record last updated Nov 23, 2008
Key facts
- NPI
- 1902051683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 016531-1 (NY)
- Practice address
- 56 Mulberry LN
Milton, NY 12547-5226 - Phone
- (845) 795-2014
- NPI assigned
- Nov 23, 2008
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016531-1 | NY | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Volz & Amato | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 016531-1 | NY | Yes |
Addresses
Primary practice location
56 Mulberry LN
Milton, NY 12547-5226
Mailing address
PO Box 737
Lake Katrine, NY 12449-0737
Phone (845) 247-0668
Other providers in Milton, NY
- Authentic Connections, Applied Behavior Analyst PLLC
- Lauren Boardman
- Zelaika Clarke
- Cassandra L Clerkin
- James Keith Festa
- Lisa Ann Goslar
All providers in Milton, 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 23, 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.