National Provider Identifier
Kristin McOmber, CCC-SLP
Kristin McOmber, 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) 421-2170.
Profile Overview
- NPI
- 1417230699
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 23, 2011
- Last Updated
- March 25, 2015
Practice Location
- 181 Hulburt RD
- Fairport, NY 14450-2474
Phone: (585) 421-2170
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1417230699
- Entity Type
- Individual
- Last Name
- McOmber
- First Name
- Kristin
- Name Prefix
- Mrs.
- Credential
- CCC-SLP
- Provider Other Last Name
- Wayland-Smith
- Provider Other First Name
- Kristin
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- CCC-SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 181 Hulburt RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-2474
- Mailing Country
- US
- Mailing Phone
- (585) 421-2170
- Mailing Fax
- (585) 421-2173
- Practice Street Address
- 181 Hulburt RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-2474
- Practice Country
- US
- Practice Phone
- (585) 421-2170
- Practice Fax
- (585) 421-2173
- Enumeration Date
- September 23, 2011
- Last Updated
- March 25, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)