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

Mrs. Jaime Dettleff, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1306988506

Mrs. Jaime Dettleff, MSCCCSLP is a Speech-Language Pathologist in Shoreham, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

47 Jomar Rd
Shoreham, NY 11786-1937
Phone: (631) 739-4781
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 013287-1 (NY)

Record details

NPI number1306988506
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedFebruary 13, 2007
Last updated in NPPESNovember 1, 2016
Mailing address47 Jomar Rd, Shoreham, NY 11786-1937

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