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

South Shore Speech Pathology

Organization Speech-Language Pathologist · NPI 1952000887

South Shore Speech Pathology is a Speech-Language Pathologist in Patchogue, New York. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

440 Waverly Ave Ste 12
Patchogue, NY 11772-7602
Phone: (631) 730-8653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 196 N Belle Mead Rd Ste 3, East Setauket, NY 11733-3477 — (631) 909-8800

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1952000887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Regina Provisiero — Speech Pathologist · (631) 525-7514
NPI enumeratedFebruary 28, 2023
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address440 Waverly Ave Ste 12, Patchogue, NY 11772-7602

Other providers in Patchogue