Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Edjae Villamor Siriban, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1316678782

Edjae Villamor Siriban, MA, CCC-SLP is a Speech-Language Pathologist in New York, New York. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

1901 1st Ave
New York, NY 10029-7494
Phone: (212) 423-6262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Central Ave Apt 5b, Fort Lee, NJ 07024-7311 — (973) 534-8796

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1316678782
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedJune 17, 2022
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

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