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

Kelli Ann Cooke-Bodnar, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1902031396

Kelli Ann Cooke-Bodnar, MACCC-SLP is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

865 Bard Ave
Staten Island, NY 10301-3324
Phone: (917) 678-9684
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 0102751 (NY)

Record details

NPI number1902031396
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMay 28, 2009
Last updated in NPPESMay 28, 2009

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