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

Kaitlyn Shay Bazerque, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1568151595

Kaitlyn Shay Bazerque, MS, CCC-SLP is a Speech-Language Pathologist in Manahawkin, New Jersey. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

132 Cruise Rd
Manahawkin, NJ 08050-1223
Phone: (609) 549-2177
Show map & directions

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

Additional practice locations (1)

  • 1769 Hooper Avenue, Toms River, NJ 08753 — (732) 913-0599

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS00988300 (NJ)

Record details

NPI number1568151595
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedMay 4, 2023
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

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