Mrs Kristina Marie Potter, MS CCC-SLP, TSSLD is a
Speech-language Pathologist based in Speonk, New York. Mrs Kristina Marie Potter is licensed to practice in New York (license number 031412) and her current practice location is
29 Hickory Bend, Speonk, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 375-1375.
NPI number for Mrs Kristina Marie Potter is 1437750312 and her current mailing address is Po Box 207, Speonk, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437750312.
Healthcare Provider's Profile
Full Name | Mrs Kristina Marie Potter |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 29 Hickory Bend, Speonk, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437750312
- Provider Enumeration Date: 11/05/2020
- Last Update Date: 01/04/2024
Medical Identifiers
Medical identifiers for Mrs Kristina Marie Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437750312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 031412 (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 Kristina Marie Potter 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 Kristina Marie Potter, MS CCC-SLP, TSSLD Po Box 207, Speonk, NY 11972-0207 Ph: (631) 375-1375 | Mrs Kristina Marie Potter, MS CCC-SLP, TSSLD 29 Hickory Bend, Speonk, NY 11972-1197 Ph: (631) 375-1375 |
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