Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Patricia Peguero-Vidal, MS, CCC-SLP, TSSLD-B

Individual provider Speech-Language Pathologist · NPI 1164071643

Patricia Peguero-Vidal, MS, CCC-SLP, TSSLD-B is a Speech-Language Pathologist in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

14439 Gravett Rd
Flushing, NY 11367-1304
Phone: (718) 793-2130
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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 029115 (NY)

Record details

NPI number1164071643
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP , TSSLD-B
Sole proprietorYes
NPI enumeratedSeptember 8, 2019
Last updated in NPPESSeptember 8, 2019

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