MRS. NICOLE J D'AVERSA M.S.- CCC-SLP
NPI 1528318243
Speech-Language Pathologist in Glen Head, NY

Active since September 11, 2012
28 GLEN COVE DR, GLEN HEAD, NY 11545(516) 676-4344(516) 676-2196 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Nicole J D'aversa M.s.- Ccc-slp NPPES

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

MRS. NICOLE J D'AVERSA M.S.- CCC-SLP (NPI 1528318243) is an individual speech-language pathologist provider in Glen Head, New York, licensed in New York (015056-1) and active in the NPI registry since September 2012.Information from the official NPPES registry record, last updated September 11, 2012.

NPPES Registry Identity

NPI1528318243
Entity TypeIndividualFemale
Provider Legal NameMRS. NICOLE J D'AVERSACredential: M.S.- CCC-SLP
Location Address28 GLEN COVE DRGlen Head, NY 11545-1710
Mailing Address28 Glen Cove DrGlen Head, NY 11545-1710 · (516) 676-4344 · Fax (516) 676-2196
Fax(516) 676-2196
Sole ProprietorYes
Enumeration DateSeptember 11, 2012
NPI 1528318243 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Speech-Language Pathologist

Taxonomy 235Z00000X · Speech, Language and Hearing Service Providers

Licensed in NY · 015056-1

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of… Show more

28 GLEN COVE DR, Glen Head, NY 11545

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528318243, enumerated as an "individual" on September 11, 2012.

The provider is located at 28 GLEN COVE DR GLEN HEAD, NY 11545 and the phone number is (516) 676-4344.

Speech-Language Pathologist with taxonomy code 235Z00000X.