Doctor Name: | MRS. KELLI LYNN LOSS |
NPI Number: | 1609943919 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 010356-1 |
Business Practice Address: | 2900 Delaware Ave Kenmore, NY - 142172309 |
Business Phone Number: | 7168719883 |
Business Fax Number: | 7168719887 |
Mailing Address: | 108 Labelle Ter, AMHERST |
State: | NY |
Postal Code: | 142281329 |
Phone Number: | 7165680362 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 08/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 010356-1 |
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 |