National Provider Identifier

Kim Osiadlo, M.A., CCC-SLP

Kim Osiadlo, M.A., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Kenmore, NY and a listed phone number of (716) 631-9515.

NPI 1962630533Kenmore, NYSpeech-Language Pathologist

Profile Overview

NPI
1962630533
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 23, 2009
Last Updated
January 22, 2013

Practice Location

  • 1 Delaware RD
  • Kenmore, NY 14217-2743

Phone: (716) 631-9515

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1962630533
Entity Type
Individual
Last Name
Osiadlo
First Name
Kim
Name Prefix
MS.
Credential
M.A., CCC-SLP
Provider Other Last Name
Uminski
Provider Other First Name
Kim
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
1
Mailing Street Address
1 Delaware RD
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2743
Mailing Country
US
Practice Street Address
1 Delaware RD
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2743
Practice Country
US
Practice Phone
(716) 631-9515
Enumeration Date
June 23, 2009
Last Updated
January 22, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)