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

Miss. Kristin Ann Fradua, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1902130065

Miss. Kristin Ann Fradua, MA, CCC-SLP is a Speech-Language Pathologist in Miller Place, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2009
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

2 Beach Rd
Miller Place, NY 11764-1801
Phone: (516) 661-2252
Show map & directions

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

Additional practice locations (1)

  • 6725 188th St, Fresh Meadows, NY 11365-3767 — (718) 454-6460

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 019542-1 (NY)

Record details

NPI number1902130065
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 22, 2009
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021

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