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

Kristen Fagan

Individual provider Speech-Language Pathologist · NPI 1790660793

Kristen Fagan is a Speech-Language Pathologist in Massapequa Park, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

45 Massapequa Ave
Massapequa Park, NY 11762-3317
Phone: (516) 306-4707
Show map & directions

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

Additional practice locations (1)

  • 5 Jardine Pl, North Babylon, NY 11703-4299 — (631) 620-7060

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 031099 (NY)

Record details

NPI number1790660793
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2025
Last updated in NPPESJune 7, 2026
Certification dateJune 7, 2026

Other providers in Massapequa Park