Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Carleen Samuelson, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1750782108

Katie Carleen Samuelson, MA, CCC-SLP is a Speech-Language Pathologist in Fairport, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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.

See every abbreviation used in this directory →

Practice location Address checks out

41 Oconnor Rd
Fairport, NY 14450-1327
Phone: (585) 383-2216
Fax: (585) 383-6679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 023438-1 (NY)

Record details

NPI number1750782108
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 4, 2014
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022
Mailing address41 Oconnor Rd, Fairport, NY 14450-1327

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