Provider Demographics
NPI:1619247731
Name:STEVE, KERRI VOLKMUTH (MS, SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:VOLKMUTH
Last Name:STEVE
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:ELIZABETH
Other - Last Name:VOLKMUTH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSSLP-CCC
Mailing Address - Street 1:120 ISLAND COTTAGE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-3626
Mailing Address - Country:US
Mailing Address - Phone:585-966-3000
Mailing Address - Fax:
Practice Address - Street 1:120 ISLAND COTTAGE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-3626
Practice Address - Country:US
Practice Address - Phone:585-966-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016563-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist