SOUTH SHORE SPEECH PATHOLOGY
NPI 1952000887
Speech-Language Pathologist in Patchogue, NY

Q: What is South Shore Speech Pathology's NPI number?

The NPI number for South Shore Speech Pathology is 1952000887. It was assigned to this organization in the NPPES registry on February 28, 2023.

Q: What is South Shore Speech Pathology's specialty?

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

Active since February 28, 2023

440 WAVERLY AVE STE 12, PATCHOGUE, NY 11772(631) 730-8653 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About South Shore Speech Pathology NPPES

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

SOUTH SHORE SPEECH PATHOLOGY (NPI 1952000887) is a healthcare organization registered as a speech-language pathologist in Patchogue, New York and active in the NPI registry since February 2023. The organization maintains a secondary practice location in East Setauket and lists Regina Provisiero, Speech Pathologist, as its authorized official.

NPPES Registry Identity

NPI1952000887

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameSOUTH SHORE SPEECH PATHOLOGY

Location Address440 WAVERLY AVE STE 12Patchogue, NY 11772-7602

Mailing Address440 Waverly Ave Ste 12Patchogue, NY 11772-7602 · (631) 730-8653

Phone(631) 730-8653

Organization SubpartNo

Authorized OfficialRegina ProvisieroSpeech Pathologist · (631) 525-7514

Enumeration DateFebruary 28, 2023

NPPES CertifiedFebruary 28, 2023

✔ NPI 1952000887 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

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.

440 WAVERLY AVE STE 12, Patchogue, NY 11772

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Secondary Practice Location 1

Location 1196 N Belle Mead Rd Ste 3East Setauket, NY 11733-3477 · Phone (631) 909-8800

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 South Shore Speech Pathology's NPI number?

The NPI number for South Shore Speech Pathology is 1952000887. It was assigned to this organization in the NPPES registry on February 28, 2023.

Where is South Shore Speech Pathology located?

South Shore Speech Pathology is located at 440 Waverly Ave Ste 12, Patchogue, NY 11772. The listed phone number is (631) 730-8653.

What is South Shore Speech Pathology'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 South Shore Speech Pathology was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.