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

Corrin Rose Mahoney, MSSLP

Individual provider Speech-Language Pathologist · NPI 1053155606

Corrin Rose Mahoney, MSSLP is a Qualified Speech Language Pathologist in Staten Island, New York. Qualified in 2024, 2 years ago. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3391 Richmond Ave
Staten Island, NY 10312-2025
Phone: (718) 608-9170
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Speech-Language Pathologist Taxonomy 235Z00000X (NY)

Record details

NPI number1053155606
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSLP
Sole proprietorNo
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Staten Island