Active NPIIndividual provider

Andrea Kidd, MA, CCC-SLP

Speech-Language Pathologist, in Mount Vernon, New York

NPI Number1871007542
Practice location
500 N Columbus Ave, Mount Vernon, NY 10552-1335
Fax
914-840-1397
Last updated
January 17, 2023

Andrea Kidd is a Speech-Language Pathologist, based in Mount Vernon, NY. Andrea Kidd practices in Mount Vernon, NY and has the professional credentials of MA, CCC-SLP. The NPI Number for Andrea Kidd is 1871007542 and holds a License No. SP.11318 (OH). The current practice location address for Andrea Kidd is 500 N Columbus Ave, Mount Vernon, NY 10552-1335 and can be reached out via phone at 914-266-3796 and via fax at 914-840-1397.

Provider Profile Details

NPI Number
1871007542
Provider Name
Andrea Kidd
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
500 N Columbus Ave, Mount Vernon, NY 10552-1335
Phone Number
914-266-3796
Fax Number
914-840-1397
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Other Names
Andrea Patterson, MA, CCC-SLP (Former Name)
Provider Enumeration Date
November 16, 2017
Last Update Date
January 17, 2023
Certification Date
January 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 N Columbus Ave
Mount Vernon, NY 10552-1335
Zip
10552-1335
Phone Number
914-266-3796
Fax Number
914-840-1397
Mount Vernon, NY 10552Get directions →

Provider Business Mailing Address Details

Address
4134 Adalric Dr
Columbus, OH 43219-6199
City
Columbus
State
OH
Zip
43219-6199

License Information

License Number (1)
SP.11318
License State (1)
OH
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
032712
License State (2)
NY
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Andrea Kidd, MA, CCC-SLP?

The NPI number of Andrea Kidd, MA, CCC-SLP is 1871007542. It was assigned on November 16, 2017 and is currently active in the NPPES registry.

What is the specialty of Andrea Kidd, MA, CCC-SLP?

Andrea Kidd, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in OH under license number SP.11318.

Where does Andrea Kidd, MA, CCC-SLP practice?

The practice location is 500 N Columbus Ave, Mount Vernon, NY 10552-1335. The office can be reached at 914-266-3796 (phone) or 914-840-1397 (fax).

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 1871007542 directly on the NPPES registry website.

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