Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Maciej Modzelewski, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1710317854

Mr. Maciej Modzelewski, MSCCC-SLP is a Speech-Language Pathologist in Harrison, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2013
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Practice location Address checks out

415 N 5th St
Harrison, NJ 07029-1201
Phone: (973) 482-6960
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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 41YS00696800 (NJ)

Record details

NPI number1710317854
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedNovember 26, 2013
Last updated in NPPESNovember 26, 2013

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