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

Individual provider Speech-Language Pathologist · NPI 1477230654

Kenneth Schick, CCC-SLP is a Qualified Speech Language Pathologist in Middle Island, New York. Qualified in 2023, 3 years ago. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
What do these letters mean?
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

130 Artist Lake Dr
Middle Island, NY 11953-2311
Phone: (631) 905-5853
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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 034804 (NY)

Record details

NPI number1477230654
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJune 29, 2023
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address130 Artist Lake Dr, Middle Island, NY 11953-2311

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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