MID-ISLAND SPEECH LANGUAGE PATHOLOGY, PLLC (NPI# 1780191288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780191288 |
| Entity Type | Organization |
| Organization Name | MID-ISLAND SPEECH LANGUAGE PATHOLOGY, PLLC |
| Practice Address |
24 Donald Street Holbrook NY 11741 |
| Practice Telephone | 6313871926 |
| Mailing Telephone | 6313871926 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |
| Authorized Official Name | MRS. JACLYN HAVLICEK (SPEECH PATHOLOGIST, OWNER) |
| Authorized Official Telephone | 6313871926 |
| Authorized Official Credential | MA, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 108418 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
24 DONALD STREET |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| 1184979916 | Jeanine Rotolo | Specialist | 228 Glensummer Rd, Holbrook, NY 11741 | 2012-07-18 |
| Find all providers in zip 11741 | ||||
| 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 |
|---|---|---|---|---|
| 1497369888 | Ashley Feiss | Speech-Language Pathologist | 11 Buckingham Dr, Holbrook, NY 11741-2881 | 2020-09-02 |
| 1902443427 | Blue Horizon Speech-language Pathology PC | Speech-Language Pathologist | 402 Donald Blvd, Holbrook, NY 11741-3942 | 2019-12-03 |
| 1679128136 | Nicole Heselpoth | Speech-Language Pathologist | 42 Knickerbocker Ave, Holbrook, NY 11741-1726 | 2019-08-01 |
| 1861881583 | David M Gonzalez | Speech-Language Pathologist | 991 Main St Ste 102, Holbrook, NY 11741-1608 | 2015-01-19 |
| 1285070599 | Stefanie Spain | Speech-Language Pathologist | 1591 Church St, Holbrook, NY 11741-5819 | 2013-05-14 |
| 1407196850 | Lindsay J Lafleur | Speech-Language Pathologist | 3 Windermere Dr, Holbrook, NY 11741-5613 | 2013-02-21 |
| 1619245602 | Kimberly Ann Pulitano | Speech-Language Pathologist | 74 Fulham Ln, Holbrook, NY 11741-3514 | 2011-12-06 |
| 1124304381 | Patrice L Crowley-scavo | Speech-Language Pathologist | 110 Thunder Rd, Holbrook, NY 11741 | 2011-11-01 |
| 1164718110 | Donna L Maloupis | Speech-Language Pathologist | 186 Cirrus Rd, Holbrook, NY 11741-4407 | 2011-06-28 |
| 1760786719 | Caren Debra Sande | Speech-Language Pathologist | 68 Opal St, Holbrook, NY 11741-4735 | 2011-01-05 |
| Find all providers in HOLBROOK | ||||
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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.