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

Individual provider Speech-Language Pathologist · NPI 1982304580

Elissa Julia Olivera, CCC-SLP is a Speech-Language Pathologist in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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

10 Hampton St
Mineola, NY 11501-3403
Phone: (631) 645-1628
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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 032812 (NY)

Record details

NPI number1982304580
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 3, 2023
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023
Mailing address1673 N Gardiner Dr, Bay Shore, NY 11706-1418

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