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

Individual provider Speech-Language Pathologist · NPI 1376825349

Mrs. Linda Marie Fasullo, MSCCC/SLP is a Speech-Language Pathologist in East Setauket, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
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Practice location Address checks out

5 Sturrock Way
East Setauket, NY 11733-1046
Phone: (631) 941-0103
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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 007103 (NY)

Record details

NPI number1376825349
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC/SLP
Sole proprietorYes
NPI enumeratedSeptember 15, 2011
Last updated in NPPESSeptember 15, 2011

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