Whalio Doctors

NPI 1033557681

Kirsten Lee Prouty, MACCCSLP

Practitioner Speech-Language Pathologist Springfield, MA

Practice location

Address
807 Wilbraham Rd, Springfield, MA 01109-2067
Phone
(607) 437-0761
Mailing address
975 Powers Rd, Conklin, NY 13748-1315

Registered specialties (4)

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 9018 (MA)
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 19238 (CA)
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SL011372 (PA)
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 07193 (MD)

Registry record

NPI
1033557681
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Jun 2013
Record last updated
31 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.