Mrs Kimberly Pettis, MSCCC-SLP in Port Jefferson, NY

Mrs Kimberly Pettis, MSCCC-SLP is a Speech-language Pathologist based in Port Jefferson, New York. Mrs Kimberly Pettis is licensed to practice in New York (license number 012235-1) and her current practice location is 200 Belle Terre Rd, Port Jefferson, New York. She can be reached at her office (for appointments etc.) via phone at (631) 474-6263.

NPI number for Mrs Kimberly Pettis is 1689739914 and her current mailing address is 7 Robin Dr, Hauppauge, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689739914.

Contact Information

	Mrs Kimberly Pettis, MSCCC-SLP
	200 Belle Terre Rd, Port Jefferson, NY 11777-1928
	(631) 474-6263
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Pettis
Gender	Female
Speciality	Speech-language Pathologist
Location	200 Belle Terre Rd, Port Jefferson, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1689739914
Provider Enumeration Date: 12/27/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Kimberly Pettis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689739914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	012235-1 (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 Kimberly Pettis 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 Kimberly Pettis, MSCCC-SLP 7 Robin Dr, Hauppauge, NY 11788-1104 Ph: (631) 656-8180	Mrs Kimberly Pettis, MSCCC-SLP 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 Ph: (631) 474-6263

Reviews and Comments

Speech-Language Pathologist in Port Jefferson, NY

Lauren Marie Berry, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 550 Scraggy Hill Rd, Port Jefferson, NY 11777 Phone: 631-791-4500
Mrs. Heather Baron, MA CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21 Sands Ln, Port Jefferson, NY 11777 Phone: 631-926-9855
Mary Elizabeth Guerrero, M.S, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 85 Leeward Ct, Port Jefferson, NY 11777 Phone: 516-383-9143
Erin Michele Delio, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000
Ms. Perla Halegoua, M.A.,C.C.C. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Crescent Rd, Port Jefferson, NY 11777 Phone: 631-928-6199
Mrs. Beth Barnett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5 Keewaydin Cir, Port Jefferson, NY 11777 Phone: 516-429-9516
Ms. Maureen J Buchanan, M.S. IN EDUCATION - Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11 Princesstree Court, Port Jefferson, NY 11777 Phone: 631-473-6188

Mrs Kimberly Pettis, MSCCC-SLP - Speech-Language Pathologist in Port Jefferson, NY