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

Mitchell Ernest Fagan, MASLP-CCC

Individual provider Speech-Language Pathologist · NPI 1144636234

Mitchell Ernest Fagan, MASLP-CCC is a Speech-Language Pathologist in Brooklyn, New York. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014

Practice location Address checks out

820 Hancock St
Brooklyn, NY 11233-1309
Phone: (718) 218-2444
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 15304 (OR)

Record details

NPI number1144636234
Entity typeIndividual (Type 1)
GenderMale
Credentials MASLP-CCC
Sole proprietorNo
NPI enumeratedJuly 9, 2014
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

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