Individual provider · Type 1 NPI

Willow Vivian Copulos

Speech-Language Pathologist · Staten Island, NY

NPI number 1679458657 Active

Practice location

1415 Richmond Ave
Staten Island, NY 10314-1553

Call (877) 407-3422 Map

Fax (877) 407-4329

Mailing address

7 Carnegie Plz
Cherry Hill, NJ 08003-1000

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X033852 (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 1679458657

Willow Vivian Copulos's National Provider Identifier is 1679458657, issued on Aug 8, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 8, 2025.