Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mid-Island Speech Language Pathology, PLLC

Organization Speech-Language Pathologist · NPI 1780191288

Mid-Island Speech Language Pathology, PLLC is a Speech-Language Pathologist in Holbrook, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
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

24 Donald St
Holbrook, NY 11741
Phone: (631) 387-1926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 108418 (NY)

Record details

NPI number1780191288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaclyn Havlicek — Speech Pathologist, Owner · (631) 387-1926
NPI enumeratedJanuary 5, 2018
Last updated in NPPESJanuary 5, 2018
Mailing address24 Donald Street, Holbrook, NY 11741

Other providers in Holbrook