Provider Demographics
NPI:1457506925
Name:KESLINGER, ANNETTE SHARON (MACCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:SHARON
Last Name:KESLINGER
Suffix:
Gender:F
Credentials:MACCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SADDLE CT
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10506-2014
Mailing Address - Country:US
Mailing Address - Phone:914-234-4799
Mailing Address - Fax:914-234-4799
Practice Address - Street 1:3 SADDLE CT
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NY
Practice Address - Zip Code:10506-2014
Practice Address - Country:US
Practice Address - Phone:914-234-4799
Practice Address - Fax:914-234-4799
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002476235Z00000X
CT002271235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist