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

Individual provider Speech-Language Pathologist · NPI 1003676149

Mrs. Jacqueline Marie Wolf, MSCCC-SLP is a Speech-Language Pathologist in Melville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
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Practice location Address checks out

560 Broadhollow Rd Ste 304
Melville, NY 11747-3702
Phone: (516) 222-2010
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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 012276-01 (NY)

Record details

NPI number1003676149
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

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