Individual provider · Type 1 NPI

Angelica Penagos Bolivar

Speech-Language Pathologist · Flushing, NY

NPI number 1699219063 Active

Practice location

3420 94th St
Flushing, NY 11372-3824

Mailing address

102 Peconic Ct
Melville, NY 11747-5305

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X3783561 (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 1699219063

Angelica Penagos Bolivar's National Provider Identifier is 1699219063, issued on Dec 5, 2016. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Flushing, NY. The record was last updated on Dec 5, 2016.