National Provider Identifier Database

KAITLYN E BOULUKOS, M.S CCC-SLP – NPI #1275841165
Speech-Language Pathologist

A speech pathologist is a person qualified by a master?s degree in speech-language pathology, and where applicable, licensed by the state and practicing within the scope of the license. Also, known as speech therapist, a speech pathologist evaluates patients with language and speech impairments or disorders, whether arising from physiological and neurological disturbances, defective articulation or foreign dialects, and conducts remedial programs designed to restore or improve their communication efficacy. Speech pathologists assess and treat persons with speech, language, voice, and fluency disorders.


Contact Information

KAITLYN E BOULUKOS, M.S CCC-SLP
3 MILLER AVENUE
SHOREHAM, NY11786
Phone: 631-821-8231
Fax: 631-821-8249
Website:
Specialty Taxonomy Code
* Speech-Language Pathologist 235Z00000X

* Indicates primary specialty

NPI Profile & details for KAITLYN E BOULUKOS

NPI Number 1275841165
Credentials M.S CCC-SLP
Entity Individual
Enumeration date 09/14/2010
Last updated 04/09/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 021000-1
  • NY License #: 1170343
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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