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

Mrs. Jacqulynn Miden, MSCCC, SLP-TSSLD

Individual provider Speech-Language Pathologist · NPI 1902370612

Mrs. Jacqulynn Miden, MSCCC, SLP-TSSLD is a Speech-Language Pathologist in Howard Beach, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

10104 158th Ave
Howard Beach, NY 11414-3212
Phone: (917) 991-0287
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 0283141 (NY)

Record details

NPI number1902370612
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC , SLP-TSSLD
Sole proprietorNo
NPI enumeratedJanuary 15, 2019
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

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