JEANINE MARIE FASANO M.A., CCC-SLP, TSSLD - NPI 1740957810 - Speech-Language Pathologist in Rockville Centre, NY

Q: What is Jeanine Fasano's NPI number?

The NPI number for Jeanine Fasano is 1740957810. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Q: What is Jeanine Fasano'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 Jeanine Fasano was last updated on August 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jeanine Marie Fasano M.a., Ccc-slp, Tssld NPPES

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

JEANINE MARIE FASANO M.A., CCC-SLP, TSSLD (NPI 1740957810) is an individual speech-language pathologist provider in Rockville Centre, New York, licensed in New York (032063) and active in the NPI registry since August 2021. She maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1740957810

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJEANINE MARIE FASANOCredential: M.A., CCC-SLP, TSSLD

Location Address77 N CENTRE AVE STE 215Rockville Centre, NY 11570-3923

Mailing Address5 Hildreth PlYonkers, NY 10704-3009 · (914) 346-0128

Phone(631) 363-5794

Sole ProprietorYes

Enumeration DateAugust 26, 2021

Last NPPES UpdateAugust 2, 20243 updates tracked since enumeration

NPPES CertifiedAugust 2, 2024

✔ NPI 1740957810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code235Z00000X

License✔ Licensed in NY · 032063

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 ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X

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

77 N CENTRE AVE STE 215, Rockville Centre, NY 11570

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Secondary Practice Location 1

Location 11909 Longfellow AveBronx, NY 10460 · Phone (347) 497-3998

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP