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

Individual provider Speech-Language Pathologist · NPI 1457735599

Jaclyn Michelli, CCC-SLP is a Speech-Language Pathologist in Medford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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

297 Mount Vernon Ave
Medford, NY 11763-3112
Phone: (631) 672-4595
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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 023906 (NY)

Record details

NPI number1457735599
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 18, 2015
Last updated in NPPESJuly 18, 2015
Mailing address297 Mount Vernon Ave, Medford, NY 11763-3112

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