Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legendary Speech Pathology PLLC

Organization Early Intervention Provider Agency · NPI 1639578107

Legendary Speech Pathology PLLC is an Early Intervention Provider Agency in Staten Island, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

997 Stafford Ave
Staten Island, NY 10309-2109
Phone: (718) 948-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 011183 (NY)

Record details

NPI number1639578107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachel Weiss — Director · (917) 744-3976
Other names Legendary Therapy
NPI enumeratedAugust 20, 2014
Last updated in NPPESAugust 20, 2014
Mailing address997 Stafford Ave, Staten Island, NY 10309-2109

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