Active NPIIndividual provider

Ms. Kirsten L Prouty, MA, CCC-SLP

Speech-Language Pathologist, in Springfield, Massachusetts

NPI Number1033557681
Practice location
807 Wilbraham RD, Springfield, MA 01109-2067
Fax
—
Last updated
October 31, 2017

Kirsten Lee Prouty is a Speech-Language Pathologist, based in Springfield, MA. Kirsten Lee Prouty practices in Springfield, MA and has the professional credentials of MA, CCC-SLP. The NPI Number for Kirsten Lee Prouty is 1033557681 and holds a License No. 19238 (CA). The current practice location address for Kirsten Lee Prouty is 807 Wilbraham RD, Springfield, MA 01109-2067 and can be reached out via phone at 607-437-0761.

Provider Profile Details

NPI Number
1033557681
Provider Name
Kirsten Lee Prouty
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
807 Wilbraham RD, Springfield, MA 01109-2067
Phone Number
607-437-0761
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2013
Last Update Date
October 31, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
807 Wilbraham RD
Springfield, MA 01109-2067
Zip
01109-2067
Phone Number
607-437-0761
Springfield, MA 01109Get directions →

Provider Business Mailing Address Details

Address
975 Powers RD
Conklin, NY 13748-1315
City
Conklin
State
NY
Zip
13748-1315
Phone Number
607-437-0761

License Information

License Number (1)
19238
License State (1)
CA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
SL011372
License State (2)
PA
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X
License Number (3)
07193
License State (3)
MD
Taxonomy (3)
Speech-Language Pathologist, · 235Z00000X
License Number (4)
9018
License State (4)
MA
Taxonomy (4)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Speech-Language Pathologist, providers near Springfield, MA

View all Speech-Language Pathologist, providers in Springfield →

Frequently Asked Questions

What is the NPI number of Ms. Kirsten L Prouty, MA, CCC-SLP?

The NPI number of Ms. Kirsten L Prouty, MA, CCC-SLP is 1033557681. It was assigned on June 5, 2013 and is currently active in the NPPES registry.

What is the specialty of Ms. Kirsten L Prouty, MA, CCC-SLP?

Ms. Kirsten L Prouty, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CA under license number 19238.

Where does Ms. Kirsten L Prouty, MA, CCC-SLP practice?

The practice location is 807 Wilbraham RD, Springfield, MA 01109-2067. The office can be reached at 607-437-0761 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033557681 directly on the NPPES registry website.

Browse related providers