MS. DIANE ELIZABETH KAVANAUGH (NPI# 1740565274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740565274 |
| Entity Type | Individual |
| Full Name | MS. DIANE ELIZABETH KAVANAUGH |
| Credential | CCC-SLP |
| Practice Address |
602 Cindy Ln Ballston Spa NY 12020-3516 |
| Practice Telephone | 5188855455 |
| Mailing Telephone | 5188855455 |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2011-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 002858-1 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
602 CINDY LN |
| City | BALLSTON SPA |
| State | NY |
| Zip Code | 12020-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529415 | Peter Joseph Valastro Jr. | Registered Nurse | 2452 Us Rt 9 Suite 206, Malta, NY 12020 | 2020-02-11 |
| 1083257224 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3 Via Rossi Way, Ballston Spa, NY 12020 | 2019-10-21 |
| 1528542255 | Mary Szacik | Social Worker | 2452 Us Rt. 9, Suite 206, Malta, NY 12020 | 2018-09-19 |
| 1669966867 | Adam Smatko | Social Worker | 2452 Us Route 9, Suite 206, Malta, NY 12020 | 2018-06-20 |
| 1538665104 | Tressa Frese | Counselor | 35 Bath Street, Ballston Spa, NY 12020 | 2018-04-03 |
| 1902312556 | Maltavista Optometry, Pllc | Optometrist | 2715 Rt 9, Suite 204, Malta, NY 12020 | 2017-12-19 |
| 1497207294 | Julie Lapham | Counselor | 100 Saratoga Village Blvd. Suite 26, Malta, NY 12020 | 2016-10-27 |
| 1932656527 | Matthew Kattell | Physical Therapist | 4102 Ellsworth Boulevard, Malta, NY 12020 | 2016-09-01 |
| 1295134740 | Nnenna Lindsay | Psychologist | 15 Trieble Avenue, Suite 5 Pmb 1013, Ballston Spa, NY 12020 | 2014-08-21 |
| 1023425956 | Jessica Duell | Registered Nurse | 603 Sweetman Road, Ballston Spa, NY 12020 | 2014-07-11 |
| Find all providers in zip 12020 | ||||
| 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 |
|---|---|---|---|---|
| 1821475070 | Corey Ott | Speech-Language Pathologist | 960 Mac Arthur Dr, Ballston Spa, NY 12020-2560 | 2015-04-27 |
| 1558754671 | Colleen Margaret Van Vorst | Speech-Language Pathologist | 17 Mourningkill Dr, Ballston Spa, NY 12020-3540 | 2015-03-13 |
| 1306247697 | Beth Bechtel | Speech-Language Pathologist | 10 Spring Cir, Ballston Spa, NY 12020-3637 | 2014-09-06 |
| 1730451428 | Julie Ann Murphy | Speech-Language Pathologist | 28 Little Dr, Ballston Spa, NY 12020-6328 | 2012-01-27 |
| 1427328632 | Mary Frances Stortini | Speech-Language Pathologist | 200 Ballston Ave, Ballston Spa, NY 12020-3606 | 2012-01-04 |
| 1982980538 | Georgena Tallman | Speech-Language Pathologist | 300 Wood Road, Ballston Spa, NY 12020-2246 | 2011-10-27 |
| 1538443056 | Wendy Sue Shisler | Speech-Language Pathologist | 223 Sweetman Rd, Ballston Spa, NY 12020-3212 | 2011-10-03 |
| 1205143211 | Erika Mae Hover | Speech-Language Pathologist | 210 Ballston Ave, Ballston Spa Csd, Ballston Spa, NY 12020-3606 | 2010-09-13 |
| 1215262555 | Grace Charlotte Paster | Speech-Language Pathologist | 107 Kayaderosseras Dr, Ballston Spa, NY 12020-2529 | 2009-10-05 |
| 1003140401 | Gina Marie Tedford | Speech-Language Pathologist | 251 Meadowlark Dr, Ballston Spa, NY 12020-2645 | 2009-10-01 |
| Find all providers in BALLSTON SPA | ||||
| City | BALLSTON SPA |
| Zip Code | 12020 |
Please comment or provide details below to improve the information on MS. DIANE ELIZABETH KAVANAUGH.
| 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.