National Provider Identifier

Kassandra Fay Strack, M.S., CCC-SLP/L

Kassandra Fay Strack, M.S., CCC-SLP/L 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.

NPI 1811481393Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1811481393
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 19, 2018
Last Updated
December 13, 2021

Practice Location

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Phone: (585) 383-2216

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1811481393
Entity Type
Individual
Last Name
Strack
First Name
Kassandra
Middle Name
Fay
Credential
M.S., CCC-SLP/L
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
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
Enumeration Date
June 19, 2018
Last Updated
December 13, 2021
Sex
Female
Sole Proprietor
No
Certification Date
December 13, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)