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KELLY PEREDO
NPI 1205354958
Speech-Language Pathologist in Saint James, NY

Active since September 01, 2017
83 SUNNY RD, SAINT JAMES, NY 11780(631) 275-4409 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 30, 2024, Sep 1, 2017 (2 updates tracked since 2017).

About Kelly Peredo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY PEREDO (NPI 1205354958) is an individual speech-language pathologist provider in Saint James, New York and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1205354958
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY PEREDO
Location Address83 SUNNY RDSaint James, NY 11780-3019
Mailing Address536 Moriches RdSaint James, NY 11780-1366
Phone(631) 275-4409
Sole ProprietorYes
Enumeration DateSeptember 1, 2017
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1205354958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
83 SUNNY RD, Saint James, NY 11780
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Peredo's NPI number?

The NPI number for Kelly Peredo is 1205354958. It was assigned to this individual provider in the NPPES registry on September 1, 2017.

Where is Kelly Peredo located?

Kelly Peredo practices at 83 Sunny Rd, Saint James, NY 11780. The listed phone number is (631) 275-4409.

What is Kelly Peredo's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Peredo was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.