Provider Demographics
NPI:1497994248
Name:DELAMATER, KATHRYN M (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:M
Last Name:DELAMATER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BOODLE HOLE RD
Mailing Address - Street 2:
Mailing Address - City:ACCORD
Mailing Address - State:NY
Mailing Address - Zip Code:12404
Mailing Address - Country:US
Mailing Address - Phone:845-546-2122
Mailing Address - Fax:845-626-4119
Practice Address - Street 1:8 BOODLE HOLE RD
Practice Address - Street 2:
Practice Address - City:ACCORD
Practice Address - State:NY
Practice Address - Zip Code:12404
Practice Address - Country:US
Practice Address - Phone:845-546-2122
Practice Address - Fax:845-626-4119
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017929235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist