National Provider Identifier

Kathleen Parks

Kathleen Parks is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Webster, NY and a listed phone number of (585) 216-0040.

NPI 1639456155Webster, NYSpeech-Language Pathologist

Profile Overview

NPI
1639456155
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 11, 2011
Last Updated
November 11, 2011

Practice Location

  • 119 South Ave
  • Webster, NY 14580-3559

Phone: (585) 216-0040

Mailing Address

  • 91 Baker St
  • Webster, NY 14580-3201

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1639456155
Entity Type
Individual
Last Name
Parks
First Name
Kathleen
Name Prefix
Miss
Mailing Street Address
91 Baker St
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-3201
Mailing Country
US
Mailing Phone
(585) 545-5484
Practice Street Address
119 South Ave
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-3559
Practice Country
US
Practice Phone
(585) 216-0040
Enumeration Date
November 11, 2011
Last Updated
November 11, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)