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

Individual provider Speech-Language Pathologist · NPI 1679068829

Jessica Anne Randall, MA, CCC-SLP, TSSLD is a Speech-Language Pathologist in Dix Hills, New York. Works from 4 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
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

507 Deer Park Rd
Dix Hills, NY 11746-5207
Phone: (631) 549-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 189 Wheatley Rd, Glen Head, NY 11545-2641 — (516) 626-1075
  • 125 E Bethpage Rd, Plainview, NY 11803-4228 — (516) 731-5588
  • 307 Eagle Ave, West Hempstead, NY 11552-3819 — (516) 986-9580

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 029004 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679068829
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP , TSSLD
Sole proprietorNo
NPI enumeratedJune 28, 2018
Last updated in NPPESJune 7, 2025
Certification dateJune 7, 2025

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