Individual provider · Type 1 NPI

Jacklyn Davidov

Speech-Language Pathologist · Jamaica, NY

NPI number 1487910915 Active

Practice location

9004 161st St, Suite 304
Jamaica, NY 11432-6141

Call (718) 206-1000 Map

Fax (718) 206-1077

Mailing address

7238 Main St
Flushing, NY 11367-2408

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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 1487910915

Jacklyn Davidov's National Provider Identifier is 1487910915, issued on Apr 10, 2012. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Jamaica, NY. The record was last updated on Sep 11, 2019.