STEPHANIE MOULKETIS MS, CCC-SLP
NPI 1104486620
Speech-Language Pathologist in Staten Island, NY

Q: What is Stephanie Moulketis's NPI number?

The NPI number for Stephanie Moulketis is 1104486620. It was assigned to this individual provider in the NPPES registry on June 17, 2019. The provider is also known as Stephanie Moulketis Gajewski Ms, Ccc-Slp.

Q: What is Stephanie Moulketis's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since June 17, 2019

88 OLD TOWN RD, STATEN ISLAND, NY 10304(718) 407-2911 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Stephanie Moulketis Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MOULKETIS MS, CCC-SLP (NPI 1104486620) is an individual speech-language pathologist provider in Staten Island, New York, licensed in New York (027806) and active in the NPI registry since June 2019. She maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1104486620

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSTEPHANIE MOULKETISCredential: MS, CCC-SLP

Location Address88 OLD TOWN RDStaten Island, NY 10304-4212

Mailing Address195 Adams St Apt 8hBrooklyn, NY 11201-1810

Phone(718) 407-2911

Sole ProprietorNo

Enumeration DateJune 17, 2019

✔ NPI 1104486620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NY · 027806

Definition

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.

88 OLD TOWN RD, Staten Island, NY 10304

Open in Google Maps ↗

Other Names 1

Other Name (5)Stephanie Moulketis Gajewski Ms, Ccc-slp

Secondary Practice Location 1

Location 1330 Saint Marks PlStaten Island, NY 10301-2409 · Phone (201) 741-6960

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIYA SHKVAROK

Registered Nurse