KATIE CARLEEN SAMUELSON M.A., CCC- SLP
NPI 1750782108
Speech-Language Pathologist in Fairport, NY

Q: What is Katie Samuelson's NPI number?

The NPI number for Katie Samuelson is 1750782108. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Q: What is Katie Samuelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katie Samuelson was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 04, 2014

41 OCONNOR RD, FAIRPORT, NY 14450(585) 383-2216(585) 383-6679 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 4, 2022, Jun 23, 2021, Aug 3, 2020 (3 updates tracked since 2020).

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About Katie Carleen Samuelson M.a., Ccc- Slp NPPES

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

KATIE CARLEEN SAMUELSON M.A., CCC- SLP (NPI 1750782108) is an individual speech-language pathologist provider in Fairport, New York, licensed in New York (023438-1) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1750782108

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKATIE CARLEEN SAMUELSONCredential: M.A., CCC- SLP

Location Address41 OCONNOR RDFairport, NY 14450-1327

Mailing Address41 Oconnor RdFairport, NY 14450-1327 · (585) 383-2216 · Fax (585) 383-6679

Phone(585) 383-2216

Fax(585) 383-6679

Sole ProprietorNo

Enumeration DateSeptember 4, 2014

Last NPPES UpdateMay 4, 20223 updates tracked since enumeration

NPPES CertifiedMay 4, 2022

✔ NPI 1750782108 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 · 023438-1

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.

41 OCONNOR RD, Fairport, NY 14450

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Other Identifiers 1

Medicaid00355344NY

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.

MS. LAURA SCHULTZE SEPKA MS, CCC/SLP

Speech-Language Pathologist