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

MS. Kaitlyn Elizabeth Boulukos, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1275841165

MS. Kaitlyn Elizabeth Boulukos, MSCCC-SLP is a Speech-Language Pathologist in Shoreham, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

3 Miller Ave
Shoreham, NY 11786
Phone: (631) 821-8231
Fax: (631) 821-8249
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 021000-1 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 1170343 (NY)

Record details

NPI number1275841165
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 14, 2010
Last updated in NPPESApril 9, 2014

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