Kayla B Carrasquillo, MASTER OF SCIENCE
Individual provider Active NPI Speech-Language Pathologist · Wading River, NY
NPI 1972160737 · NPPES record last updated May 28, 2019
Key facts
- NPI
- 1972160737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 6144 Route 25a Ste 9B
Wading River, NY 11792-2015 - Phone
- (631) 325-7755
- NPI assigned
- May 28, 2019
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manorville Speech Pathology, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
6144 Route 25a Ste 9B
Wading River, NY 11792-2015
Mailing address
6144 Route 25a Ste 9B
Wading River, NY 11792-2015
Phone (631) 325-7755
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.manorvillespeech.com | Direct |
Other providers in Wading River, NY
- Meredith Leslie Bushell
- C Jay'S Management Corporation
- Lorraine Callas
- Jeffrey P Campisi
- Allyson Carlson
- Alina M. Cavallo
- Yelena Chavez
- Helena Cieslak
- Joelle Maria Cimino
- Patricia L Clark
All providers in Wading River, 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 May 28, 2019. 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.