National Provider Identifier

Kristen Rene Smallwood, M.A., CCC-SLP

Kristen Rene Smallwood, M.A., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Wayland, NY and a listed phone number of (585) 245-2539.

NPI 1528352788Wayland, NYSpeech-Language Pathologist

Profile Overview

NPI
1528352788
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 06, 2011
Last Updated
March 21, 2019

Practice Location

  • 2350 Route 63
  • Wayland, NY 14572-9509

Phone: (585) 245-2539

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1528352788
Entity Type
Individual
Last Name
Smallwood
First Name
Kristen
Middle Name
Rene
Credential
M.A., CCC-SLP
Mailing Street Address
2350 Route 63
Mailing City
Wayland
Mailing State
NY
Mailing ZIP Code
14572-9509
Mailing Country
US
Mailing Phone
(585) 245-2539
Practice Street Address
2350 Route 63
Practice City
Wayland
Practice State
NY
Practice ZIP Code
14572-9509
Practice Country
US
Practice Phone
(585) 245-2539
Enumeration Date
June 06, 2011
Last Updated
March 21, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)