Mrs Kelly Suzanne Theis, MS SLP is a
Local Education Agency (lea) based in Cornwall On Hudson, New York. Mrs Kelly Suzanne Theis is licensed to practice in New York (license number 018477) and her current practice location is
24 Idlewild Ave, Cornwall On Hudson, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 534-8009.
NPI number for Mrs Kelly Suzanne Theis is 1851661433 and her current mailing address is 30 Bethlehem Rd, New Windsor, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851661433.
Healthcare Provider's Profile
| Full Name | Mrs Kelly Suzanne Theis |
|---|
| Gender | Female |
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| Speciality | Local Education Agency (lea) |
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| Location | 24 Idlewild Ave, Cornwall On Hudson, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851661433
- Provider Enumeration Date: 01/12/2012
- Last Update Date: 01/12/2012
Medical Identifiers
Medical identifiers for Mrs Kelly Suzanne Theis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851661433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 018477 (New York) | Secondary |
| 251300000X | Local Education Agency (lea) | 018477 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Suzanne Theis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kelly Suzanne Theis, MS SLP
30 Bethlehem Rd,
New Windsor, NY 12553-8903
Ph: (845) 863-7861 | Mrs Kelly Suzanne Theis, MS SLP
24 Idlewild Ave,
Cornwall On Hudson, NY 12520-1134
Ph: (845) 534-8009 |
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