Search › New York › 235Z00000X
Kaitlyn Boulukos, M.S CCC-SLP
NPI 1275841165 · on the registry since 2010
Practice
- Address
- 3 Miller Avenue
Shoreham, NY 11786 - Phone
- (631) 821-8231
- Fax
- (631) 821-8249
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York