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

Jennifer Andrea Petruski, MSED, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1497023626

Jennifer Andrea Petruski, MSED, CCC-SLP is a Speech-Language Pathologist in Port Ewen, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

345 Mountain View Ave
Port Ewen, NY 12466
Phone: (845) 943-3431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 008165-1 (NY)

Record details

NPI number1497023626
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 2, 2011
Last updated in NPPESDecember 2, 2011

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