National Provider Identifier

Katlyn Elizabeth Heverly, MA

Katlyn Elizabeth Heverly, MA is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1134811334Victor, NYSpeech-Language Pathologist

Profile Overview

NPI
1134811334
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 24, 2023
Last Updated
June 13, 2024

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • PO Box 190
  • Yorkshire, NY 14173-0190

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1134811334
Entity Type
Individual
Last Name
Heverly
First Name
Katlyn
Middle Name
Elizabeth
Credential
MA
Mailing Street Address
PO Box 190
Mailing City
Yorkshire
Mailing State
NY
Mailing ZIP Code
14173-0190
Mailing Country
US
Mailing Phone
(561) 779-8744
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
May 24, 2023
Last Updated
June 13, 2024
Sex
Female
Sole Proprietor
No
Certification Date
June 13, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)