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

Lissette Kaleena Vizcarrondo, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1366141673

Lissette Kaleena Vizcarrondo, MS, CCC-SLP is a Qualified Speech Language Pathologist in Locust Valley, New York. Qualified in 2020, 6 years ago. Practices with Ny Speech Pathology Consultants PC, a 15-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
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.

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Practice location Address checks out

22 French St
Locust Valley, NY 11560-2319
Phone: (516) 355-6001
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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 030804 (NY)

Record details

NPI number1366141673
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 24, 2023
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ny Speech Pathology Consultants Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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