National Provider Identifier
Kelly Pristach, M.S.ED CCC/SLP
Kelly Pristach, M.S.ED CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 377-2230.
Profile Overview
- NPI
- 1235527037
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- December 31, 2014
- Last Updated
- August 24, 2020
Practice Location
- 149 N Main St
- Fairport, NY 14450-1434
Phone: (585) 377-2230
Mailing Address
- 1249 Holley RD
- Webster, NY 14580-9581
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1235527037
- Entity Type
- Individual
- Last Name
- Pristach
- First Name
- Kelly
- Name Prefix
- Mrs.
- Credential
- M.S.ED CCC/SLP
- Mailing Street Address
- 1249 Holley RD
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-9581
- Mailing Country
- US
- Mailing Phone
- (585) 705-1196
- Practice Street Address
- 149 N Main St
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1434
- Practice Country
- US
- Practice Phone
- (585) 377-2230
- Practice Fax
- (585) 377-2312
- Enumeration Date
- December 31, 2014
- Last Updated
- August 24, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 24, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)