National Provider Identifier

Kristy Dirlam, M.A., CCC-SLP

Kristy Dirlam, M.A., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Sodus, NY and a listed phone number of (315) 483-5282.

NPI 1215237318Sodus, NYSpeech-Language Pathologist

Profile Overview

NPI
1215237318
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 25, 2010
Last Updated
October 25, 2010

Practice Location

  • 6264 Route 88
  • Sodus, NY 14551-9772

Phone: (315) 483-5282

Mailing Address

  • 3249 Green Tree Dr
  • Walworth, NY 14568-9308

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1215237318
Entity Type
Individual
Last Name
Dirlam
First Name
Kristy
Name Prefix
Mrs.
Credential
M.A., CCC-SLP
Mailing Street Address
3249 Green Tree Dr
Mailing City
Walworth
Mailing State
NY
Mailing ZIP Code
14568-9308
Mailing Country
US
Mailing Phone
(315) 986-8728
Practice Street Address
6264 Route 88
Practice City
Sodus
Practice State
NY
Practice ZIP Code
14551-9772
Practice Country
US
Practice Phone
(315) 483-5282
Practice Fax
(315) 483-5292
Enumeration Date
October 25, 2010
Last Updated
October 25, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)