Individual provider · Type 1 NPI
Kelly A. Cinicola, MS CCC SLP
Specialist · South Setauket, NY
NPI number
1811142458
Active
Practice location
6 Millbury Ln
South Setauket, NY 11720-1247
Other practice locations
- 110 Stephan Hands Path, East Hampton, NY 11975 · (631) 324-0207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist | 235Z00000X | None listed |
| Specialist Primary | 174400000X | 018474 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1811142458
Kelly A. Cinicola, MS CCC SLP's National Provider Identifier is 1811142458, issued on Nov 24, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Setauket, NY. The record was last updated on May 7, 2020.