Provider Demographics
NPI:1053566901
Name:KUPER USIATYNSKI, HILARY CYNTHIA (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:CYNTHIA
Last Name:KUPER USIATYNSKI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MRS
Other - First Name:HILARY
Other - Middle Name:CYNTHIA
Other - Last Name:USIATYNSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:170 INTREPID LANE
Mailing Address - Street 2:HIGH PEAKS REHAB.
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13205
Mailing Address - Country:US
Mailing Address - Phone:315-492-8319
Mailing Address - Fax:315-492-3758
Practice Address - Street 1:170 INTREPID LANE
Practice Address - Street 2:HIGH PEAKS REHAB.
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13205
Practice Address - Country:US
Practice Address - Phone:315-492-8319
Practice Address - Fax:315-492-3758
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY91741235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist