Theis, Kelly Suzanne

Theis, Kelly Suzanne is an sole proprietor health care provider with primary practice located at 24 Idlewild Ave , Cornwall On Hudson NY 12520-1134. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Local Education Agency (LEA). Agencies / Local Education Agency (LEA) is her primary health care specialty. Theis, Kelly Suzanne can be contacted via phone (845) 534-8009.

Contact Information

Primary practice address
24 Idlewild Ave Cornwall On Hudson NY 12520-1134
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 018477 New York
Agencies / Local Education Agency (LEA) 251300000X 018477 New York

Profile Details

NPI number 1851661433
LBN Legal business name Theis, Kelly Suzanne
Credentials M.S. SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2012
Last updated Jan 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers