Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KAITLYN ELIZABETH BOULUKOS, M.S CCC-SLP
ActiveMS. KAITLYN ELIZABETH BOULUKOS, M.S CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in SHOREHAM, New York. NPI 1275841165 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · SHOREHAM, NY
Registration Details
- NPI Number
- 1275841165
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2010 (15.770785263798 yrs)
- Last Updated
- Apr 9, 2014
- Licenses
-
1170343 (NY)021000-1 (NY)
Practice Information
- Address
-
3 MILLER AVENUESHOREHAM, NY, 11786Browse NY providers · Browse ZIP 11786
- Phone
- 6318218231
- Fax
- 6318218249
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in SHOREHAM, NY
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN J LOUSER | MASLP | 1003852377 |
| AMILIE BRENNAN | — | 1033264569 |
| MRS. LEE ANNE GRIFFIN | M.A. CCC SLP | 1366598278 |
| MRS. CHRISTINE LANGE | SLP | 1619018363 |
| MRS. JAIME DETTLEFF | M.S. CCC SLP | 1306988506 |
| MS. ANNMARIE KANE | CCC-SLP | 1508991175 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.