Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Susan Alissa Mirman, CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1083922439

Mrs. Susan Alissa Mirman, CCC/SLP is a Speech-Language Pathologist in East Northport, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
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Practice location Address checks out

5 Stonehenge Ln
East Northport, NY 11731-4519
Phone: (631) 266-1751
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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 010905-1 (NY)

Record details

NPI number1083922439
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC/SLP
Sole proprietorNo
NPI enumeratedSeptember 20, 2010
Last updated in NPPESSeptember 20, 2010

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