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KELLY MARIE PETZING
NPI 1235395757
Speech-Language Pathologist in Fairport, NY

Active since August 04, 2008
149 N MAIN ST, FAIRPORT, NY 14450(585) 377-2230 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Marie Petzing NPPES

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

KELLY MARIE PETZING (NPI 1235395757) is an individual speech-language pathologist provider in Fairport, New York, licensed in New York (016484) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1235395757
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY MARIE PETZING
Location Address149 N MAIN STFairport, NY 14450-1434
Mailing Address149 N Main StFairport, NY 14450-1434 · (585) 377-2230
Phone(585) 377-2230
Sole ProprietorNo
Enumeration DateAugust 4, 2008
✔ NPI 1235395757 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
License✔ Licensed in NY · 016484
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.
149 N MAIN ST, Fairport, NY 14450
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRETCHEN GUSTAVSON M.S., CCC-SLP
Speech-Language Pathologist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
AMY COLIN DPT
Physical Therapist (Pediatrics)
149 N MAIN ST, BRIGHT START PEDIATRIC SERVICES
FAIRPORT, NY 14450
Monroe County (585) 377-2230
JACLYN R QUINTERO PTA
Physical Therapy Assistant
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
MRS. SUZANNE KAHN M.S.ED.
Specialist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
MELODY MOORE PTA
Physical Therapy Assistant
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
DIANE MARIE MOULTON MSED
Specialist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
SUE GABRIELLE GARBIN
Speech-Language Pathologist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
MRS. JENNIFER KEENAN SLP
Speech-Language Pathologist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230

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 Petzing's NPI number?

The NPI number for Kelly Petzing is 1235395757. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Kelly Petzing located?

Kelly Petzing practices at 149 N Main St, Fairport, NY 14450. The listed phone number is (585) 377-2230.

What is Kelly Petzing'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 Petzing was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.