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

Lily Jeannine Roach, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1649894445

Lily Jeannine Roach, MSCCC-SLP is a Speech-Language Pathologist in Phoenix, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

116 Volney St
Phoenix, NY 13135-3104
Phone: (315) 695-1555
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 030792 (NY)

Record details

NPI number1649894445
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJune 8, 2020
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022

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