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

Individual provider Speech-Language Pathologist · NPI 1265008825

Raven R Haddock is a Speech-Language Pathologist in New York, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

280 Fort Washington Ave Apt 33
New York, NY 10032-1306
Phone: (203) 984-8486
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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

Record details

NPI number1265008825
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2021
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021

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