JACKLYN NICOLE BUDDENHAGEN MA.,CF-SLP
NPI 1174087456
Speech-Language Pathologist in Bay Shore, NY

Q: What is Jacklyn Buddenhagen's NPI number?

The NPI number for Jacklyn Buddenhagen is 1174087456. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Q: What is Jacklyn Buddenhagen's specialty?

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

Active since January 30, 2019

217 5TH AVE, BAY SHORE, NY 11706(631) 968-1140 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2020, Feb 6, 2019, Jan 30, 2019 (3 updates tracked since 2019).

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About Jacklyn Nicole Buddenhagen Ma.,cf-slp NPPES

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

JACKLYN NICOLE BUDDENHAGEN MA.,CF-SLP (NPI 1174087456) is an individual speech-language pathologist provider in Bay Shore, New York, licensed in New York (029245) and active in the NPI registry since January 2019. She maintains a secondary practice location in Islip Terrace.

NPPES Registry Identity

NPI1174087456

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJACKLYN NICOLE BUDDENHAGENCredential: MA.,CF-SLP

Location Address217 5TH AVEBay Shore, NY 11706-6402

Mailing Address26 Dean StNorth Babylon, NY 11703-4104

Phone(631) 968-1140

Sole ProprietorNo

Enumeration DateJanuary 30, 2019

Last NPPES UpdateApril 23, 20203 updates tracked since enumeration

NPPES CertifiedApril 23, 2020

✔ NPI 1174087456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code235Z00000X

License✔ Licensed in NY · 029245

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

217 5TH AVE, Bay Shore, NY 11706

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Secondary Practice Location 1

Location 11 Craig B Gariepy AveIslip Terrace, NY 11752-2820 · Phone (631) 650-6545

Other Providers at the Same Location NPPES

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

MRS. VERONICA KARCHER RN

Registered Nurse (School)

217 5TH AVE
BAY SHORE, NY 11706

Suffolk County (631) 968-1141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacklyn Buddenhagen's NPI number?

The NPI number for Jacklyn Buddenhagen is 1174087456. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Where is Jacklyn Buddenhagen located?

Jacklyn Buddenhagen practices at 217 5th Ave, Bay Shore, NY 11706. The listed phone number is (631) 968-1140.

What is Jacklyn Buddenhagen's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacklyn Buddenhagen was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.