Individual provider · Type 1 NPI

Jillian Marie Fonseca, M.S. CCC-SLP

Speech-Language Pathologist · New York, NY

NPI number 1508415472 Active

Practice location

227 East 41st Street, 8th Floor
New York, NY 10017-1001

Fax (212) 273-6427

Mailing address

18 Crestwood Ln
Clark, NJ 07066-2640

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X028995 (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 1508415472

Jillian Marie Fonseca, M.S. CCC-SLP's National Provider Identifier is 1508415472, issued on Sep 4, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in New York, NY. The record was last updated on May 8, 2020.