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

Individual provider Speech-Language Pathologist · NPI 1326343930

Mrs. Theresa Marie Lane, MACCC-SLP is a Speech-Language Pathologist in Merrick, 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

1812 Gardenia Ave
Merrick, NY 11566-1503
Phone: (516) 503-4017
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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 020598 (NY)

Record details

NPI number1326343930
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 13, 2011
Last updated in NPPESSeptember 28, 2018

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