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

Individual provider Speech-Language Pathologist · NPI 1396359097

Marley Mintz, MACCC-SLP is a Speech-Language Pathologist in Woodside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

3352 62nd St
Woodside, NY 11377-2282
Phone: (718) 429-3141
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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 030029 (NY)

Record details

NPI number1396359097
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing address3352 62nd St, Woodside, NY 11377-2282

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