Provider Demographics
NPI:1689721169
Name:SALITAN, KATHLEEN JOANNE (MS)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:JOANNE
Last Name:SALITAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3479 WOODLANDS CIR
Mailing Address - Street 2:
Mailing Address - City:MACEDON
Mailing Address - State:NY
Mailing Address - Zip Code:14502-9307
Mailing Address - Country:US
Mailing Address - Phone:315-986-9864
Mailing Address - Fax:315-986-9864
Practice Address - Street 1:3479 WOODLANDS CIR
Practice Address - Street 2:
Practice Address - City:MACEDON
Practice Address - State:NY
Practice Address - Zip Code:14502-9307
Practice Address - Country:US
Practice Address - Phone:315-986-9864
Practice Address - Fax:315-986-9864
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00918-1231H00000X
NY003883-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist