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

Individual provider Speech-Language Pathologist · NPI 1396507570

Phillip Kostyuk, MS, CCC-SLP is a Speech-Language Pathologist in Elk Grove, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

9355 E Stockton Blvd Ste 100
Elk Grove, CA 95624-9476
Phone: (916) 683-1109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7510 Malva Rosa Way, Sacramento, CA 95829-8727 — (916) 835-0859

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 36190 (CA)

Record details

NPI number1396507570
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 24, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

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