Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raina Desiree Thorsen, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1538602115

Raina Desiree Thorsen, MA, CCC-SLP is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts 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

28 Merriman Ave
Staten Island, NY 10314-2431
Phone: (917) 538-7347
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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 58 017269 (NY)

Record details

NPI number1538602115
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 30, 2016
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

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