National Provider Identifier
Kathleen V Shoup, CCC-SLP
Kathleen V Shoup, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Geneseo, NY and a listed phone number of (585) 243-3450.
Profile Overview
- NPI
- 1528349222
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 08, 2011
- Last Updated
- June 13, 2018
Practice Location
- 4050 Avon RD
- Geneseo, NY 14454
Phone: (585) 243-3450
Mailing Address
- 35 Woodbine Park
- Geneseo, NY 14454-1184
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1528349222
- Entity Type
- Individual
- Last Name
- Shoup
- First Name
- Kathleen
- Middle Name
- V
- Name Prefix
- Miss
- Credential
- CCC-SLP
- Mailing Street Address
- 35 Woodbine Park
- Mailing City
- Geneseo
- Mailing State
- NY
- Mailing ZIP Code
- 14454-1184
- Mailing Country
- US
- Mailing Phone
- (585) 455-5719
- Practice Street Address
- 4050 Avon RD
- Practice City
- Geneseo
- Practice State
- NY
- Practice ZIP Code
- 14454
- Practice Country
- US
- Practice Phone
- (585) 243-3450
- Enumeration Date
- September 08, 2011
- Last Updated
- June 13, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 008786 (NY, State Education Department), 01133216 (NY, American Speech-Language-Hearing Association)