Individual provider · Type 1 NPI

Regina Ann Provisiero, MA/CCC/SLP

Speech-Language Pathologist · Port Jefferson, NY

NPI number 1457596207 Active

Practice location

220 Windward Ct N
Port Jefferson, NY 11777-2323

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X58017705 (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 1457596207

Regina Ann Provisiero, MA/CCC/SLP's National Provider Identifier is 1457596207, issued on Dec 9, 2008. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Dec 9, 2008.