Individual provider · Type 1 NPI

Samantha Connolly, MS, CCC-SLP

Speech-Language Pathologist · Queens Village, NY

NPI number 1114464534 Active

Practice location

8043 212th St
Queens Village, NY 11427-1014

Mailing address

1391 Holiday Park Dr
Wantagh, NY 11793-2542

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X025569 (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 1114464534

Samantha Connolly, MS, CCC-SLP's National Provider Identifier is 1114464534, issued on Jan 23, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Queens Village, NY. The record was last updated on Jun 16, 2020.