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

Individual provider Speech-Language Pathologist · NPI 1407148711

Jessica Dawn Goldberg, MACCCSLP is a Speech-Language Pathologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
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Practice location Address checks out

200 E 94th St Apt 1216
New York, NY 10128-3903 Not confirmed with CMS for 15 years — call before visiting
Phone: (917) 400-6216
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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 020798 (NY)

Record details

NPI number1407148711
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedMay 4, 2011
Last updated in NPPESMay 4, 2011

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