National Provider Identifier
Kim Susan Mauro, MS CCC SLP
Kim Susan Mauro, MS 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) 797-9366.
Profile Overview
- NPI
- 1285870071
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- December 28, 2008
- Last Updated
- December 28, 2008
Practice Location
- 42 Norbrook RD
- Fairport, NY 14450-8958
Phone: (585) 797-9366
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1285870071
- Entity Type
- Individual
- Last Name
- Mauro
- First Name
- Kim
- Middle Name
- Susan
- Name Prefix
- Mrs.
- Credential
- MS CCC SLP
- Mailing Street Address
- 42 Norbrook RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-8958
- Mailing Country
- US
- Mailing Phone
- (585) 797-9366
- Mailing Fax
- (585) 486-1230
- Practice Street Address
- 42 Norbrook RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-8958
- Practice Country
- US
- Practice Phone
- (585) 797-9366
- Practice Fax
- (585) 486-1230
- Enumeration Date
- December 28, 2008
- Last Updated
- December 28, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)