MRS. TINA PERRE WILDE CCC.SLP
NPI 1700923711
Speech-Language Pathologist in Bayport, NY

Q: What is Tina Wilde's NPI number?

The NPI number for Tina Wilde is 1700923711. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Tina Wilde's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tina Wilde was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 31, 2007

404 1ST AVE, BAYPORT, NY 11705(631) 472-6679 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Tina Perre Wilde Ccc.slp NPPES

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

MRS. TINA PERRE WILDE CCC.SLP (NPI 1700923711) is an individual speech-language pathologist provider in Bayport, New York, licensed in New York (006180-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1700923711

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. TINA PERRE WILDECredential: CCC.SLP

Location Address404 1ST AVEBayport, NY 11705-1305

Mailing Address404 1st AveBayport, NY 11705-1305 · (631) 472-6679

Phone(631) 472-6679

Sole ProprietorYes

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700923711 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 · 006180-1

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.

404 1ST AVE, Bayport, NY 11705

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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 Tina Wilde's NPI number?

The NPI number for Tina Wilde is 1700923711. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Tina Wilde located?

Tina Wilde practices at 404 1st Ave, Bayport, NY 11705. The listed phone number is (631) 472-6679.

What is Tina Wilde'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 Tina Wilde was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.