Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laurie V Nazaire, MS, CCC-SLP, TSSLD

Individual provider Speech-Language Pathologist · NPI 1356913784

Laurie V Nazaire, MS, CCC-SLP, TSSLD is a Qualified Speech Language Pathologist in Jamaica, New York. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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.

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Practice location Address checks out

16701 Gothic Dr
Jamaica, NY 11432-1935
Phone: (718) 558-9801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14310 20th Ave, Whitestone, NY 11357-3098 — (718) 961-1212

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 03247901 (NY)

Record details

NPI number1356913784
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP , TSSLD
Sole proprietorNo
NPI enumeratedJuly 14, 2021
Last updated in NPPESSeptember 7, 2023
Certification dateAugust 16, 2022

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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