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

Nicole Ryan Haas

Individual provider Speech-Language Pathologist · NPI 1013402171

Nicole Ryan Haas is a Speech-Language Pathologist in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

1428 5th Ave
Bay Shore, NY 11706-4147
Phone: (631) 241-3924
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 027779 (NY)

Record details

NPI number1013402171
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2018
Last updated in NPPESOctober 25, 2023
Certification dateOctober 16, 2023
Mailing address155 Dari Dr, Holbrook, NY 11741-4326

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