Active NPIIndividual providerSole proprietor

Kyra Connelly, MS, CCC-SLP

Speech-Language Pathologist, in Wakefield, Massachusetts

NPI Number1962142182
Practice location
607 North Ave # 14, Wakefield, MA 01880-1322
Fax
—
Last updated
March 31, 2022

Kyra Connelly is a Speech-Language Pathologist, based in Wakefield, MA. Kyra Connelly practices in Wakefield, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Kyra Connelly is 1962142182 and holds a License No. 78378-SP-SL (MA). The current practice location address for Kyra Connelly is 607 North Ave # 14, Wakefield, MA 01880-1322 and can be reached out via phone at 781-245-4446.

Provider Profile Details

NPI Number
1962142182
Provider Name
Kyra Connelly
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
607 North Ave # 14, Wakefield, MA 01880-1322
Phone Number
781-245-4446
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2022
Last Update Date
March 31, 2022
Certification Date
March 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
607 North Ave # 14
Wakefield, MA 01880-1322
Zip
01880-1322
Phone Number
781-245-4446
Wakefield, MA 01880Get directions →

Provider Business Mailing Address Details

Address
9 Mineral St
Reading, MA 01867-2442
City
Reading
State
MA
Zip
01867-2442

License Information

License Number (1)
78378-SP-SL
License State (1)
MA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
14399528
License State (2)
MA
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

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 Kyra Connelly, MS, CCC-SLP?

The NPI number of Kyra Connelly, MS, CCC-SLP is 1962142182. It was assigned on March 29, 2022 and is currently active in the NPPES registry.

What is the specialty of Kyra Connelly, MS, CCC-SLP?

Kyra Connelly, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 78378-SP-SL.

Where does Kyra Connelly, MS, CCC-SLP practice?

The practice location is 607 North Ave # 14, Wakefield, MA 01880-1322. The office can be reached at 781-245-4446 (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 1962142182 directly on the NPPES registry website.

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