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BROOKE A. BOLDT M.S. CCC-SLP
NPI 1508292426
Speech-Language Pathologist in Carthage, NY

Active since September 24, 2013
25059 WOOLWORTH ST, CARTHAGE, NY 13619(315) 493-5000(315) 493-7036 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooke A. Boldt M.s. Ccc-slp NPPES

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

BROOKE A. BOLDT M.S. CCC-SLP (NPI 1508292426) is an individual speech-language pathologist provider in Carthage, New York, licensed in New York (023901) and active in the NPI registry since September 2013. She maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1508292426
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBROOKE A. BOLDTCredential: M.S. CCC-SLP
Location Address25059 WOOLWORTH STCarthage, NY 13619
Mailing Address6859 Shady AveCroghan, NY 13327-2241 · (315) 286-6465
Phone(315) 493-5000
Fax(315) 493-7036
Sole ProprietorNo
Enumeration DateSeptember 24, 2013
Last NPPES UpdateSeptember 18, 2018
✔ NPI 1508292426 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 · 023901
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.
25059 WOOLWORTH ST, Carthage, NY 13619
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Other Names 1

Former Name (1)Brooke A. Grunert M.s. Ccc-slp

Secondary Practice Location 1

Location 116783 Ives Street ExtWatertown, NY 13601-5312 · Phone (315) 788-5377 · Fax (315) 788-5373

Other Providers at the Same Location NPPES 5

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

JEANNE STENOSKI
Registered Nurse (School)
25059 WOOLWORTH ST
CARTHAGE, NY 13619
Jefferson County (315) 493-5000
CARTHAGE CENTRAL SCHOOL DISTRICT
Local Education Agency (LEA)
25059 WOOLWORTH ST
CARTHAGE, NY 13619
Jefferson County (315) 493-5000
MICHELLE A AURICCHIO RN
Registered Nurse
25059 WOOLWORTH ST
CARTHAGE, NY 13619
Jefferson County (315) 493-5000
SUZANNE FAZEKAS CCC-SLP
Speech-Language Pathologist
25059 WOOLWORTH ST
CARTHAGE, NY 13619
Jefferson County (315) 493-5000
AMANDA MAE TERRILLION
Registered Nurse (School)
25059 WOOLWORTH ST
CARTHAGE, NY 13619
Jefferson County (315) 493-5000

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 Brooke Boldt's NPI number?

The NPI number for Brooke Boldt is 1508292426. It was assigned to this individual provider in the NPPES registry on September 24, 2013. The provider is also known as Brooke A. Grunert M.S. Ccc-Slp.

Where is Brooke Boldt located?

Brooke Boldt practices at 25059 Woolworth St, Carthage, NY 13619. The listed phone number is (315) 493-5000.

What is Brooke Boldt'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 Brooke Boldt was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.