MRS. JACLYN MARIE GRUPP (NPI# 1538559059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538559059 |
| Entity Type | Individual |
| Full Name | MRS. JACLYN MARIE GRUPP |
| Credential | CCC-SLP |
| Practice Address |
2375 Riverside Dr Wantagh NY 11793-4541 |
| Practice Telephone | 5166729644 |
| Mailing Telephone | 5166729644 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 024473 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
2375 RIVERSIDE DR |
| City | WANTAGH |
| State | NY |
| Zip Code | 11793-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134765548 | Wantagh Pharmacy Inc | Pharmacy | 1165 Wantagh Ave, Wantagh, NY 11793 | 2019-11-20 |
| 1003356007 | Mansi Barai | Early Intervention Provider Agency | 1555 Jennie Road, Wantagh, NY 11793 | 2017-02-24 |
| 1659729077 | Lauren Kronowitz | Chiropractor | 1400 Wantagh Ave Ste 209, Wantagh, NY 11793 | 2016-05-26 |
| 1508223835 | Sheetal Nair | Behavior Technician | 10 Old Jerusalem Rd, Wantagh, NY 11793 | 2016-01-18 |
| 1982942272 | Comprehensive Mri of New York, P.C. | Clinic/Center | 1165 Wantagh Avenue, Wantagh, NY 11793 | 2013-01-22 |
| 1396009189 | Jacqueline Raffaele | Social Worker | 3375 Park Ave Ste 4001, Wantagh, NY 11793 | 2012-06-27 |
| 1700152493 | Rosalind Kay Safir | Speech-Language Pathologist | 2850 North Jerusalem Rd, Wantagh, NY 11793 | 2012-03-27 |
| 1902174675 | Stacey Lee Barrett | Registered Nurse | 2250 Northjerusalem Road, Nassau Boces Cca, Wantagh, NY 11793 | 2011-12-08 |
| 1760705917 | Joseph Hoffman | Pharmacist | 646 Wantagh Avenue, Wantagh, NY 11793 | 2010-03-02 |
| 1003146119 | Maryhaven Center of Hope Inc. | Community/Behavioral Health | 2957 Burns Avenue, Wantagh, NY 11793 | 2010-01-12 |
| Find all providers in zip 11793 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102608 | Allison Mary Ickstadt | Speech-Language Pathologist | 1174 Fortune Ct, Wantagh, NY 11793-2759 | 2020-07-28 |
| 1750939120 | Gabrielle Bernadotte | Speech-Language Pathologist | 1338 Odell St, Wantagh, NY 11793-2345 | 2019-08-29 |
| 1093281123 | Elizabeth Almansa | Speech-Language Pathologist | 2453 Bellaire St, Wantagh, NY 11793-4507 | 2018-10-16 |
| 1750865507 | Developing Speech, P.C. | Speech-Language Pathologist | 1941 Wantagh Ave Ste 204, Wantagh, NY 11793-3950 | 2018-09-18 |
| 1942787643 | Mary M Palleja | Speech-Language Pathologist | 2168 Larch St, Wantagh, NY 11793-4144 | 2018-07-25 |
| 1558847111 | Emily Anne Ewald | Speech-Language Pathologist | 40 Ribbon Ln, Wantagh, NY 11793-1510 | 2018-07-17 |
| 1992290571 | Brittany Kemp | Speech-Language Pathologist | 2621 Mariners Ave, Wantagh, NY 11793-4403 | 2018-06-26 |
| 1194270892 | Christine Marie Loeb | Speech-Language Pathologist | 2449 Sycamore Ave, Wantagh, NY 11793-4415 | 2016-08-23 |
| 1720532971 | Kristen Ann Kannengeiser | Speech-Language Pathologist | 1644 Jane St, Wantagh, NY 11793-3129 | 2016-08-04 |
| 1922451350 | Karen Lovelace | Speech-Language Pathologist | 1871 Village Ln S, Wantagh, NY 11793-3230 | 2016-07-21 |
| Find all providers in WANTAGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.