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

Individual provider Speech-Language Pathologist · NPI 1013514637

Jacqueline Tall, CCC-SLP is a Speech-Language Pathologist in Bronx, New York. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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

950 Longfellow Ave
Bronx, NY 10474-4809
Phone: (718) 893-1042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15050 14th Rd, Whitestone, NY 11357-2609 — (718) 767-0071

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1013514637
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 6, 2020
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022
Mailing address37 Third Ave, Garden City Park, NY 11040-5021

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