Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin C Bergholtz, MS, LICCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1124114590

Kristin C Bergholtz, MS, LICCCC-SLP is a Speech-Language Pathologist in Pittsford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

15 Fishers Rd Ste 213
Pittsford, NY 14534-9510
Phone: (585) 260-7627
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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 015715-1 (NY)

Record details

NPI number1124114590
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LICCCC-SLP
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESMarch 21, 2026
Certification dateMarch 21, 2026

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