LILY JEANNINE ROACH M.S. CCC-SLP
NPI 1649894445
Speech-Language Pathologist in Phoenix, NY

Active since June 08, 2020
116 VOLNEY ST, PHOENIX, NY 13135(315) 695-1555 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Speech-Language Pathologist

About LILY ROACH

This page provides the complete NPI Profile along with additional information for Lily Roach, a provider established in Phoenix, New York with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1649894445 assigned on June 2020. The practitioner's primary taxonomy code is 235Z00000X with license number 030792 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1649894445 Verify this NPI
Provider Name
LILY JEANNINE ROACH M.S. CCC-SLP
Gender
Female
Entity Type
Individual
Location Address
116 VOLNEY ST PHOENIX, NY 13135
Location Phone
(315) 695-1555
Mailing Address
116 VOLNEY ST PHOENIX, NY 13135
Mailing Phone
(315) 695-1555
Is Sole Proprietor?
No
Enumeration Date
06-08-2020
Last Update Date
03-29-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
030792
License State
NY
Taxonomy Description
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.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Local Education Agency (LEA)
116 VOLNEY ST
PHOENIX, NY 13135
Registered Nurse
116 VOLNEY ST
PHOENIX, NY 13135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649894445, enumerated as an "individual" on June 08, 2020.

The provider is located at 116 VOLNEY ST PHOENIX, NY 13135 and the phone number is (315) 695-1555.

Speech-Language Pathologist with taxonomy code 235Z00000X.