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Mrs. Kimberly Pettis, MSCCC-SLP
Speech-Language Pathologist in Port Jefferson, New York
NPI 1689739914

Kimberly Pettis is a Speech-Language Pathologist based in Hauppauge, NY. Kimberly Pettis practices in Port Jefferson, NY and has the professional credentials of MSCCC-SLP. The NPI Number for Kimberly Pettis is 1689739914 and holds a License No. 012235-1 (New York).

The current practice location address for Kimberly Pettis is 200 Belle Terre Rd, Port Jefferson, NY and can be reached out via phone at 631-474-6263.

Location: 200 Belle Terre Rd, Port Jefferson, NY, 11788-1104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689739914
Provider Name
Kimberly Pettis
Credential
MSCCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
200 Belle Terre Rd, Port Jefferson, NY, 11788-1104
Phone Number
631-474-6263
Fax Number
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
200 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1928
Phone Number
631-474-6263
Fax Number
person
Provider Business Mailing Address Details
Address
200 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1928
Phone Number
631-474-6263
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
012235-1 (New York)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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