Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Depersis, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1083934996

Kathleen Depersis, MA, CCC-SLP is a Speech-Language Pathologist in Johnson City, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

18 Broad St
Johnson City, NY 13790-2106
Phone: (607) 798-7117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 019865 (NY)

Record details

NPI number1083934996
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedJune 3, 2010
Last updated in NPPESMarch 7, 2016

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