Stefani M Cassidy, M.S. CCC-SLP, TSSLD

Individual provider Active NPI Speech-Language Pathologist · Albertson, NY

NPI 1013531664 · NPPES record last updated Oct 26, 2023

Key facts

NPI
1013531664
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
201 I U Willets Rd
Albertson, NY 11507-1516
Phone
(516) 465-1661
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea E Nomberg Physician PC Past
since Oct 1, 2021
Accepting new patients
Theralympic Speech Therapy PLLC Speech-Language Pathologist Past
since May 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

201 I U Willets Rd
Albertson, NY 11507-1516

Mailing address

201 I U Willets Rd
Albertson, NY 11507-1516
Phone (516) 528-0557

Other providers in Albertson, NY

All providers in Albertson, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.