Individual provider · Type 1 NPI

Emily Provenzano

Speech-Language Pathologist · Staten Island, NY

NPI number 1104105683 Active

Practice location

1535 Richmond Ave
Staten Island, NY 10314-1520

Call (718) 556-1616 Map

Mailing address

418 Robinson Ave
Staten Island, NY 10312-5142

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X1816016 (NY)

Speech-Language Pathologist: 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, resonan…

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About NPI 1104105683

Emily Provenzano's National Provider Identifier is 1104105683, issued on Aug 15, 2011. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 28, 2012.