| Doctor Name: | MS. KATHLEEN ANN MARINELLI |
| NPI Number: | 1346576824 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., SLP ,CCC-SP |
| License Number: | 004878-1 |
| Business Practice Address: | 5225 Nesconset Hwy Port Jefferson Station, NY - 117762053 |
| Business Phone Number: | 6314734284 |
| Business Fax Number: | |
| Mailing Address: | 100 Kenneth Ave, GREENLAWN |
| State: | NY |
| Postal Code: | 117402903 |
| Phone Number: | 6318483805 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2009 |
| NPI Last Update Date: | 06/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 004878-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |