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

Individual provider Speech-Language Pathologist · NPI 1285703041

Mr. Timothy Leonard Haller, SLP is a Qualified Speech Language Pathologist in Ravena, New York. Qualified in 1986, 40 years ago. Licensed in New York.

Years since qualifying
40
Licensed in
NY
In the registry since
2006
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

47 Blaisdell Ave
Ravena, NY 12143
Phone: (518) 334-9546
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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 005527 (NY)

Record details

NPI number1285703041
Entity typeIndividual (Type 1)
GenderMale
Credentials SLP
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESOctober 6, 2021
Certification dateAugust 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Not indicated

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