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

Individual provider Speech-Language Pathologist · NPI 1396174504

Mara Willis Dejonghe, MS, CCC-SLP is a Speech-Language Pathologist in Glens Falls, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

13 Locust St
Glens Falls, NY 12801-4544
Phone: (857) 205-0219
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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 023131 (NY)

Record details

NPI number1396174504
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 7, 2013
Last updated in NPPESSeptember 6, 2016

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