MRS. HEATHER KACZOR (NPI# 1457669350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457669350 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER KACZOR |
| Other Name | HEATHER VAN SLYCKE |
| Credential | CCC-SLP |
| Practice Address |
12 Water St Forestville NY 14062-9608 |
| Mailing Address |
10567 Old Lake Shore Rd Irving NY 14081-9554 |
| Practice Telephone | 7169652742 |
| Practice Fax Number | 7169652786 |
| Mailing Telephone | 7162071579 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2017-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 011036-1 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
12 WATER ST |
| City | FORESTVILLE |
| State | NY |
| Zip Code | 14062-9608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821270455 | Forestville Central School | Local Education Agency (LEA) | 12 Water St, Forestville, NY 14062-9608 | 2007-12-05 |
| 1902204456 | Emily Anne Scott | Occupational Therapy Assistant | 12 Water St, Forestville, NY 14062-9608 | 2014-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285120089 | Forestville Chiropractic PC | Chiropractor | 24 Main St, Forestville, NY 14062 | 2018-07-03 |
| 1679666838 | Jessica L Davis-mierzwa | Chiropractor | 24 Main St, Forestville, NY 14062 | 2006-10-02 |
| 1558525451 | Danielle Elizabeth Whitfield | Registered Nurse | 18 Center St, Evercare, Forestville, NY 14062-9504 | 2008-07-10 |
| 1578101564 | Nichole Rinehart | Student in an Organized Health Care Education/Training Program | 8832 Prospect Rd, Forestville, NY 14062-9520 | 2019-12-20 |
| 1114295045 | Kathryn A Lotz | Occupational Therapy Assistant | 1508 Gage Rd, Forestville, NY 14062-9528 | 2011-12-07 |
| 1841426632 | Cathy R Emke | Licensed Practical Nurse | 351 Route 39, Forestville, NY 14062-9570 | 2009-06-07 |
| 1437481702 | Michael Paul Skelly | Social Worker | 21 Cedar St, Forestville, NY 14062-9604 | 2010-02-11 |
| 1477754703 | Ronald R. Johnson | Custodial Care Facility | 2063 Route 83, Forestville, NY 14062-9639 | 2007-05-31 |
| 1932579091 | Kelly Schober | Occupational Therapy Assistant | 10885 Allegany Rd, Forestville, NY 14062-9737 | 2015-10-01 |
| 1346581378 | Julie Marie Taylor | Licensed Practical Nurse | 252 King Rd, Forestville, NY 14062-9746 | 2013-03-15 |
| Find all providers in zip 14062 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417283300 | Dianne Michelle Bost | Speech-Language Pathologist | 2901 Lakehurst Ave, Forestville, MD 20747-3513 | 2009-10-27 |
| 1275861981 | Judith Ann Edghill | Speech-Language Pathologist | 7420 Marlboro Pike, Forestville, MD 20747-4343 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689490 | Rebecca Papa | Speech-Language Pathologist | 219 E 66th St Apt 2a, New York, NY 10065-6430 | 2020-11-08 |
| 1255932935 | Emily W Wang | Speech-Language Pathologist | 486 E 28th St Apt 702, Brooklyn, NY 11226-7994 | 2020-11-08 |
| 1962003087 | Gittel Markowitz | Speech-Language Pathologist | 3751 Lyme Ave, Brooklyn, NY 11224-1321 | 2020-11-04 |
| 1073114245 | Joanna Kaufman | Speech-Language Pathologist | 3515 75th St Apt 102, Jackson Heights, NY 11372-4401 | 2020-11-04 |
| 1760082473 | Carli Nussenblatt | Speech-Language Pathologist | 47 Donald Dr, New Rochelle, NY 10804-1833 | 2020-10-30 |
| 1043810740 | Nichole Bada | Speech-Language Pathologist | 5616 202nd St, Bayside, NY 11364-1629 | 2020-10-30 |
| 1932709813 | Nikki Rose Iadanza | Speech-Language Pathologist | 433 Manhattan St, Staten Island, NY 10307-1810 | 2020-10-29 |
| 1942800024 | Carla D Gottlich | Speech-Language Pathologist | 201 E 69th St Apt 3n, New York, NY 10021-5481 | 2020-10-28 |
| 1871193276 | Mehreen Parvez | Speech-Language Pathologist | 11 Wishing Ln, Hicksville, NY 11801-6422 | 2020-10-27 |
| 1841890050 | Leslie-anne Mcmanus | Speech-Language Pathologist | 35 Hickory Rd, Bayville, NY 11709-1832 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | FORESTVILLE |
| Zip Code | 14062 |
Please comment or provide details below to improve the information on MRS. HEATHER KACZOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.