Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeanine Marie Fasano, MA, CCC-SLP, TSSLD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740957810

Jeanine Marie Fasano, MA, CCC-SLP, TSSLD is a Student in an Organized Health Care Education/Training Program in Rockville Centre, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
3
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Rockville Centre, NY

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1909 Longfellow Ave, Bronx, NY 10460 — (347) 497-3998

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 032063 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Early Intervention Provider Agency Taxonomy 252Y00000X

Record details

NPI number1740957810
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP , TSSLD
Sole proprietorYes
NPI enumeratedAugust 26, 2021
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

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