National Provider Identifier
Katie Carleen Samuelson, M.A., CCC- SLP
Katie Carleen Samuelson, M.A., 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) 383-2216.
Profile Overview
- NPI
- 1750782108
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 04, 2014
- Last Updated
- May 04, 2022
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 383-2216
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1750782108
- Entity Type
- Individual
- Last Name
- Samuelson
- First Name
- Katie
- Middle Name
- Carleen
- Credential
- M.A., CCC- SLP
- Mailing Street Address
- 41 Oconnor RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1327
- Mailing Country
- US
- Mailing Phone
- (585) 383-2216
- Mailing Fax
- (585) 383-6679
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 383-2216
- Practice Fax
- (585) 383-6679
- Enumeration Date
- September 04, 2014
- Last Updated
- May 04, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 00355344 (NY)