Individual provider · Type 1 NPI

Kelly Suzanne Theis, M.S. SLP

Local Education Agency (LEA) · Cornwall On Hudson, NY

NPI number 1851661433 Active

Practice location

24 Idlewild Ave
Cornwall On Hudson, NY 12520-1134

Call (845) 534-8009 Map

Mailing address

30 Bethlehem Rd
New Windsor, NY 12553-8903

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist	235Z00000X	018477 (NY)
Local Education Agency (LEA) Primary	251300000X	018477 (NY)

Local Education Agency (LEA): The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in…

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About NPI 1851661433

Kelly Suzanne Theis, M.S. SLP's National Provider Identifier is 1851661433, issued on Jan 12, 2012. The primary taxonomy on file is Local Education Agency (LEA) (251300000X), and the practice location is in Cornwall On Hudson, NY. The record was last updated on Jan 12, 2012.