Denise L Spagnuolo, MA, CCC-SLP/TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10041-1 Issued in NY

Practice address

50 Timberline Dr
Brentwood, NY 11717

Phone

(631) 434-2525

Fax

(631) 434-2186

NPI assigned

Sep 22, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Brentwood Ufsd

  • Early Intervention Provider Agency
  • Brentwood, NY
  • NPI 1013226646
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1124301585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TIMBERLINE DR",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174803",
            "telephone_number": "631-434-2525",
            "fax_number": "631-434-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TIMBERLINE DR",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-434-2525",
            "fax_number": "631-434-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNUOLO",
        "first_name": "DENISE",
        "middle_name": "L",
        "credential": "MA, CCC-SLP/TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "10041-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Scott Southard, D.C.
• Emilia Souza
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• Catherine Valle Sparks, RN
• Barry Richard Stabiner
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• Dennis J Stallone, PHARMACIST

• Speech-Language Pathologist in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.