Provider Profile

Kimberly Pettis, M.S.CCC-SLP

Unclaimed Profile

About Kimberly Pettis

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Specialty

Speech-Language Pathologist (Primary)

Credentials & Licensing

NY license012235-1
NPI1689739914
NPI issued12/27/2006

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What is Kimberly Pettis's specialty?

Kimberly Pettis is a speech therapist in Port Jefferson, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Speech-Language Pathologist”.

NPI registry

Where can I find Kimberly Pettis?

Kimberly Pettis is listed at 200 Belle Terre Rd, Port Jefferson, NY 11777. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Kimberly Pettis?

The number on file is (631) 474-6263. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Kimberly Pettis's NPI number?

Kimberly Pettis's National Provider Identifier is 1689739914. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Kimberly Pettis been practicing?

Kimberly Pettis has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Kimberly Pettis confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kimberly Pettis. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.