Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jane K Wodicka, MA, CCC-SLP, TSHH

Individual provider Speech-Language Pathologist · NPI 1629474499

Jane K Wodicka, MA, CCC-SLP, TSHH is a Speech-Language Pathologist in Great River, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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

22 Provost Ln
Great River, NY 11739-3017
Phone: (631) 921-2463
Fax: (631) 859-0582
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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 011832-1 (NY)

Record details

NPI number1629474499
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP , TSHH
Sole proprietorNo
NPI enumeratedNovember 6, 2014
Last updated in NPPESApril 13, 2015

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