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

Individual provider Speech-Language Pathologist · NPI 1689968398

Jennifer N Blaine, MA, CCC-SLP is a Speech-Language Pathologist in Hicksville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
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

10 Arpad St
Hicksville, NY 11801-2203
Phone: (516) 672-3462
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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 020997 (NY)

Record details

NPI number1689968398
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedMay 31, 2011
Last updated in NPPESJuly 21, 2015

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