Provider Demographics
NPI:1700220506
Name:KALENSKY, KATE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:KALENSKY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:HERFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:4502 DITMARS BLVD
Mailing Address - Street 2:APARTMENT 126
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-1319
Mailing Address - Country:US
Mailing Address - Phone:718-781-2239
Mailing Address - Fax:
Practice Address - Street 1:4502 DITMARS BLVD
Practice Address - Street 2:APARTMENT 126
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-1319
Practice Address - Country:US
Practice Address - Phone:718-781-2239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019309235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist