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

Individual provider Speech-Language Pathologist · NPI 1275965022

Krystin Michele Petzoldt, CCC-SLP is a Speech-Language Pathologist in Oswego, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
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

159 W 1st St
Oswego, NY 13126-2045
Phone: (716) 359-8335
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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 022446-1 (NY)

Record details

NPI number1275965022
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 4, 2013
Last updated in NPPESMay 20, 2016

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