MEDICARE: KIMBERLY BETH DELLIS CCC/SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	01097630	NY

General Provider Information

NPI Number	:	1124399894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY BETH DELLIS CCC/SLP

Provider Business Mailing Address
First Line	:	701 MC CREY DR
Second Line	:
City	:	BALLSTON SPA
State	:	NY
Zip	:	12020-6000
Country	:	US
Telephone Number	:	518-879-9122
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 MAPLE AVE
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-5504
Country	:	US
Telephone Number	:	518-587-4551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2012
Last Update Date	:	01/26/2012

Similar Medicare Providers

1104197862 — MRS. SHARON HOFFMAN
Practice Location Address:

515 MAPLE AVE
SARATOGA SPRINGS, NY
12866-5504

Practice Phone: 518-587-4551
Practice Fax:

1083008205 — ROCHELLE GUIDO M.S.
Practice Location Address:

515 MAPLE AVE
SARATOGA SPRINGS, NY
12866-5504

Practice Phone: 518-587-4551
Practice Fax:

1841181153 — KADEY BURSTEIN PA-C
Practice Location Address:

5730 GLENRIDGE DR STE 300
SANDY SPRINGS, GA
30328-5504

Practice Phone: 404-631-6156
Practice Fax:

1154373421 — DR. DENISE A CHANDLER DC
Practice Location Address:

2023 E. MAIN ST. , STE. C
SILOAM SPRINGS, AR
72761-5504

Practice Phone: 479-524-5555
Practice Fax:

1871537985 — MS. CARY E COWLBECK PA-C
Practice Location Address:

7401 BEAUFONT SPRINGS DR STE 205
NORTH CHESTERFIELD, VA
23225-5504

Practice Phone: 804-272-0114
Practice Fax:

1730109661 — 3D PT, INC
Practice Location Address:

2021 E MAIN ST , B
SILOAM SPRINGS, AR
72761-5504

Practice Phone: 479-524-3378
Practice Fax:

Directions to “ KIMBERLY BETH DELLIS CCC/SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.