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Mid-Island Speech Language Pathology, PLLC

Speech therapy practice in Holbrook, NY

NPI activeLicense # listed (NY)

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Public-record details

Address
24 Donald Street, Holbrook, NY 11741
Phone
(631) 387-1926
Listed under
Speech therapy practices
NPI
1780191288
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Speech-Language Pathologist (235Z00000X)
License number on NPI record
108418 (NY)
Authorized official
Jaclyn Havlicek, MA, CCC-SLP, Speech Pathologist, Owner
NPI first issued
Jan 5, 2018
NPI record last updated
Jan 5, 2018

NPI 1780191288 is active in the federal NPPES registry (CMS); license 108418 (NY) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Speech-language pathologists (SLPs) evaluate and treat speech sounds, language, stuttering, voice, and feeding and swallowing. Ask whether the clinic treats children and which ages.

View NPI 1780191288 in the official registry ↗

Checking a license: the number above is what the provider entered in the NPI registry. Your state licensing board's lookup shows whether it is current. For individual therapists, ASHA (speech) and NBCOT (occupational therapy) let you verify national certification.

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