Penney Sue Kelberg in Bayside - Speech-language Pathologist

Penney Sue Kelberg - NPI 1982741989

Penney Sue Kelberg is a Speech-language Pathologist in Bayside, New York. Penney Sue Kelberg practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Penney Sue Kelberg is 1982741989. The last update date is 2007-07-08.

Penney Sue Kelberg's current location address is 4206 212th St, Bayside, New York. You can contact this provider via phone number 7186318542. The mailing address for Penney Sue Kelberg is 4206 212th St, Bayside, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Penney Sue Kelberg
Address 4206 212th St, Bayside, New York
Phone Number 7186318542
Fax Number
Sole Proprietor Y
Credentials MS CCC-SLP

NPI Number Detail

NPI Number 1982741989
Provider Enumeration Date 2007-01-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4206 212th St
City Bayside
State New York (NY)
Post Code 113612839
Phone Number 7186318542
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 12631
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

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FAQs about Penney Sue Kelberg

What is the Penney Sue Kelberg's unique identification number?

The Penney Sue Kelberg has been assigned the NPI (National Provider Identifier) Number 1982741989 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Penney Sue Kelberg?

The Penney Sue Kelberg is situated at 4206 212Th St, in the city of Bayside, state of NY, with the zip code 113612839.

What is Penney Sue Kelberg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Penney Sue Kelberg's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1982741989 to Penney Sue Kelberg?

The Centers for Medicare & Medicaid Services originally issued the 1982741989 to Penney Sue Kelberg on 2007-01-31.

When was the information pertaining to Penney Sue Kelberg most recently updated or revised?

The details related to Penney Sue Kelberg, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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