KELLEY BETH BURT M.S., CCC-SLP
NPI 1790049096
Speech-Language Pathologist in Liverpool, NY

Active since July 02, 2012
110 ELWOOD DAVIS ROAD, LIVERPOOL, NY 13088(315) 560-2325 Get Directions Write a Review

NPPES record last updated: November 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelley Beth Burt M.s., Ccc-slp NPPES

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

KELLEY BETH BURT M.S., CCC-SLP (NPI 1790049096) is an individual speech-language pathologist provider in Liverpool, New York, licensed in New York (021991) and active in the NPI registry since July 2012. She maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1790049096
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLEY BETH BURTCredential: M.S., CCC-SLP
Location Address110 ELWOOD DAVIS ROADLiverpool, NY 13088
Mailing Address7625 Highbridge Rd Apt D8Manlius, NY 13104-1621 · (315) 560-2325
Sole ProprietorNo
Enumeration DateJuly 2, 2012
Last NPPES UpdateNovember 2, 2019
NPI 1790049096 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 · 021991
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.

110 ELWOOD DAVIS ROAD, Liverpool, NY 13088

Secondary Practice Location 1

Location 11744 W Genesee StSyracuse, NY 13204-1902 · Phone (315) 468-3414

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790049096, enumerated as an "individual" on July 02, 2012.

The provider is located at 110 ELWOOD DAVIS ROAD LIVERPOOL, NY 13088 and the phone number is (315) 560-2325.

Speech-Language Pathologist with taxonomy code 235Z00000X.