MID-ISLAND SPEECH LANGUAGE PATHOLOGY, PLLC
NPI 1780191288
Speech-Language Pathologist in Holbrook, NY

Active since January 05, 2018
24 DONALD STREET, HOLBROOK, NY 11741(631) 387-1926 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid-island Speech Language Pathology, Pllc NPPES

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

MID-ISLAND SPEECH LANGUAGE PATHOLOGY, PLLC (NPI 1780191288) is a healthcare organization registered as a speech-language pathologist in Holbrook, New York and active in the NPI registry since January 2018. The organization lists Jaclyn Havlicek, Speech Pathologist, Owner, as its authorized official.

NPPES Registry Identity

NPI1780191288
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameMID-ISLAND SPEECH LANGUAGE PATHOLOGY, PLLC
Location Address24 DONALD STREETHolbrook, NY 11741
Mailing Address24 Donald StreetHolbrook, NY 11741 · (631) 387-1926
Organization SubpartNo
Authorized OfficialJaclyn HavlicekSpeech Pathologist, Owner · (631) 387-1926
Enumeration DateJanuary 5, 2018
NPI 1780191288 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 · 108418
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.
24 DONALD STREET, Holbrook, NY 11741

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

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 Mid-Island Speech Language Pathology, PLLC's NPI number?

The NPI number for Mid-Island Speech Language Pathology, PLLC is 1780191288. It was assigned to this organization in the NPPES registry on January 5, 2018.

Where is Mid-Island Speech Language Pathology, PLLC located?

Mid-Island Speech Language Pathology, PLLC is located at 24 Donald Street, Holbrook, NY 11741. The listed phone number is (631) 387-1926.

What is Mid-Island Speech Language Pathology, PLLC'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 Mid-Island Speech Language Pathology, PLLC was last updated on January 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.