Provider Demographics
NPI:1508122532
Name:VINDAS, KELLY M (MS, CF)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:M
Last Name:VINDAS
Suffix:
Gender:F
Credentials:MS, CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 WEBSTER AVE
Mailing Address - Street 2:2FL.
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:130 WEBSTER AVE
Practice Address - Street 2:2FL.
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6111
Practice Address - Country:US
Practice Address - Phone:914-740-5998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist