Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Jillian Marie Fonseca, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1508415472

Miss. Jillian Marie Fonseca, MSCCC-SLP is a Speech-Language Pathologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

227 E 41st Street 8th Fl
New York, NY 10017-1001
Phone: (212) 273-6100
Fax: (212) 273-6427
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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 028995 (NY)

Record details

NPI number1508415472
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 4, 2019
Last updated in NPPESMay 8, 2020
Certification dateMay 8, 2020

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