Individual provider · Type 1 NPI

Jacqueline Nicole Mortenson, MA CCC-SLP

Speech-Language Pathologist · East Setauket, NY

NPI number 1295214245 Active

Practice location

14 Research Way
East Setauket, NY 11733-3453

Call (631) 331-6400 Map

Fax (631) 331-6865

Other practice locations

  • 222 E Middle Country Rd, Smithtown, NY 11787-2871 · (631) 525-7514

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Speech-Language Pathologist Primary 235Z00000X029121 (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 1295214245

Jacqueline Nicole Mortenson, MA CCC-SLP's National Provider Identifier is 1295214245, issued on Aug 10, 2018. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in East Setauket, NY. The record was last updated on Nov 19, 2019.