National Provider Identifier

Krista G. Annese, MA, CCC-SP

Krista G. Annese, MA, CCC-SP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 482-4836.

NPI 1407159569Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1407159569
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 13, 2010
Last Updated
December 13, 2010

Practice Location

  • 450 Humboldt St
  • Rochester, NY 14610-1114

Phone: (585) 482-4836

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1407159569
Entity Type
Individual
Last Name
Annese
First Name
Krista
Middle Name
G.
Credential
MA, CCC-SP
Mailing Street Address
450 Humboldt St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14610-1114
Mailing Country
US
Mailing Phone
(585) 482-4836
Mailing Fax
(585) 935-7428
Practice Street Address
450 Humboldt St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610-1114
Practice Country
US
Practice Phone
(585) 482-4836
Practice Fax
(585) 935-7428
Enumeration Date
December 13, 2010
Last Updated
December 13, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)