Active NPI
Lynn Marie Stetson, M.S., CCC-SLP TSSLD
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1003622200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 034854
- Practice address
- 2425 Kings Hwy Ste A9
Brooklyn, NY 11229-1639 - Phone
- (718) 338-1729
- NPI assigned
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 034854 | NY | Primary |
Addresses
Primary practice location
2425 Kings Hwy Ste A9
Brooklyn, NY 11229-1639
Mailing address
608 E 2ND St # 2R
Brooklyn, NY 11218-4967
Phone (917) 653-2198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034854 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adler Molly Gurland L.L.C | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Brooklyn, NY
- NPI 1902116072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1003622200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 E 2ND ST # 2R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184967",
"telephone_number": "917-653-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 KINGS HWY STE A9",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291639",
"telephone_number": "718-338-1729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STETSON",
"first_name": "LYNN",
"middle_name": "MARIE",
"credential": "M.S., CCC-SLP TSSLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-04",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "034854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.