Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY PETTIS, M.S.CCC-SLP
ActiveMRS. KIMBERLY PETTIS, M.S.CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in PORT JEFFERSON, New York. NPI 1689739914 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · PORT JEFFERSON, NY
Registration Details
- NPI Number
- 1689739914
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2006 (19.588957735455 yrs)
- Last Updated
- Jul 8, 2007
- License
-
012235-1 (NY)
Practice Information
- Address
-
200 BELLE TERRE RDPORT JEFFERSON, NY, 117771928Browse NY providers · Browse ZIP 11777
- Phone
- 6314746263
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in PORT JEFFERSON, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. HEATHER PATRICE CONIGLIO | MA, CCC-SLP | 1619032950 |
| MS. PERLA HALEGOUA | M.A.,C.C.C. | 1174669444 |
| MRS. WENDY DEYOUNG LUCA | SLP | 1356474688 |
| MS. MARLENE G BOULD | SLP | 1982821476 |
| VANESSA ALISON LEYHANE | MS CCC-SLP | 1710140538 |
| VICTORIA BLASI | SLP | 1407005184 |
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.