Provider Demographics
NPI:1689192130
Name:CHAMBERS, KAYLYN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAYLYN
Middle Name:
Last Name:CHAMBERS
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 1:14 PINEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GUILDERLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12084-9756
Mailing Address - Country:US
Mailing Address - Phone:845-220-7519
Mailing Address - Fax:
Practice Address - Street 1:26 COMPUTER DR E
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1112
Practice Address - Country:US
Practice Address - Phone:845-220-7519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist