| Kristen Rene Smallwood, MA, CCC-SLP | |
|
2350 Route 63, Wayland, NY 14572-9509 | |
| (585) 245-2539 | |
| Not Available |
| Full Name | Kristen Rene Smallwood |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2350 Route 63, Wayland, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528352788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 020243-1 (New York) | Primary |
| Provider Name | State Of New York Comptrollers Office |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Rene Smallwood, MA, CCC-SLP 2350 Route 63, Wayland, NY 14572-9509 Ph: (585) 245-2539 | Kristen Rene Smallwood, MA, CCC-SLP 2350 Route 63, Wayland, NY 14572-9509 Ph: (585) 245-2539 |
Emily A. Bowers, EMILY BOWERS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2332 Isaman Rd, Wayland, NY 14572 Phone: 585-727-3392 | |
Mrs. Ellie Katherine Hallett, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Route 63, Wayland, NY 14572 Phone: 585-728-2091 | |
Alyssa Wallace, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Route 63, Wayland, NY 14572 Phone: 607-765-1700 | |
Ms. Grace Yannie, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2350 Route 63, Wayland, NY 14572 Phone: 585-728-2211 Fax: 585-728-2217 |