National Provider Identifier

Kelli Lynn McKenna-D'Ambrosio, M.A., CCC-SLP

Kelli Lynn McKenna-D'Ambrosio, M.A., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Avon, NY and a listed phone number of (585) 226-2455.

NPI 1285902007Avon, NYSpeech-Language Pathologist

Profile Overview

NPI
1285902007
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 07, 2011
Last Updated
December 07, 2011

Practice Location

  • 161 Clinton St
  • Avon, NY 14414-1432

Phone: (585) 226-2455

Mailing Address

  • 4972 Lake RD
  • Avon, NY 14414-9797

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1285902007
Entity Type
Individual
Last Name
McKenna-D'Ambrosio
First Name
Kelli
Middle Name
Lynn
Name Prefix
Mrs.
Credential
M.A., CCC-SLP
Mailing Street Address
4972 Lake RD
Mailing City
Avon
Mailing State
NY
Mailing ZIP Code
14414-9797
Mailing Country
US
Mailing Phone
(585) 226-9172
Practice Street Address
161 Clinton St
Practice City
Avon
Practice State
NY
Practice ZIP Code
14414-1432
Practice Country
US
Practice Phone
(585) 226-2455
Enumeration Date
December 07, 2011
Last Updated
December 07, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)