MEDICARE: KAYLEE RITCHIE 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	034348	NY

General Provider Information

NPI Number	:	1619837341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE RITCHIE CCC-SLP

Provider Business Mailing Address
First Line	:	148 FISHER AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10307-1310
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4108 VICTORY BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-6743
Country	:	US
Telephone Number	:	718-504-5591
Fax Number	:

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

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	11/14/2025

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Directions to “ KAYLEE RITCHIE CCC-SLP” Practice Location

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