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

Individual provider Speech-Language Pathologist · NPI 1447493176

Anisio Deoliveira, CCC-SLP is a Speech-Language Pathologist in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2901 216th St
Bayside, NY 11360-2810
Phone: (718) 281-8800
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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 017335 (NY)

Record details

NPI number1447493176
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedApril 10, 2009
Last updated in NPPESApril 10, 2009

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