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NPI Code Detail

MEDICARE: KELLI-ANNE DUNN M.S., CF-SLP

MEDICARE:   KELLI-ANNE  DUNN  M.S., CF-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
1235Z00000XSpeech-Language PathologistP123668NY

General Provider Information

NPI Number : 1679354799
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLI-ANNE DUNN M.S., CF-SLP
Provider Business Mailing Address
First Line : 45 CECILIA DR
Second Line :
City : SYOSSET
State : NY
Zip : 11791-3023
Country : US
Telephone Number : 516-320-9347
Fax Number :
Provider Business Practice Location Address
First Line : 100 CHARLES LINDBERGH BLVD
Second Line :
City : UNIONDALE
State : NY
Zip : 11553-3631
Country : US
Telephone Number : 516-591-3030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2023
Last Update Date : 10/13/2023

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Directions to “ KELLI-ANNE DUNN M.S., CF-SLP” Practice Location

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