Individual provider · Type 1 NPI

Jessica Anne Randall, MA, CCC-SLP, TSSLD

Speech-Language Pathologist · Dix Hills, NY

NPI number 1679068829 Active

Practice location

507 Deer Park Rd
Dix Hills, NY 11746-5207

Call (631) 549-4900 Map

Mailing address

251 Broadway
Massapequa Park, NY 11762-1844

Other practice locations

  • 307 Eagle Ave, West Hempstead, NY 11552-3819 · (516) 986-9580
  • 125 E Bethpage Rd, Plainview, NY 11803-4228 · (516) 731-5588
  • 189 Wheatley Rd, Glen Head, NY 11545-2641 · (516) 626-1075

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Speech-Language Pathologist Primary 235Z00000X029004 (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 1679068829

Jessica Anne Randall, MA, CCC-SLP, TSSLD's National Provider Identifier is 1679068829, issued on Jun 28, 2018. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Dix Hills, NY. The record was last updated on Jun 7, 2025.