Michelle Cellan, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Williston PK, NY
NPI 1134432107 · NPPES record last updated Jul 25, 2013
Key facts
- NPI
- 1134432107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 020036-1 (NY)
- Practice address
- 129A Hillside Ave
Williston PK, NY 11596-2305 - Phone
- (516) 742-5243
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020036-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.E.E.D.S. of the Willistons Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 020036-1 | NY | Yes |
Addresses
Primary practice location
129A Hillside Ave
Williston PK, NY 11596-2305
Mailing address
178 Brendan Ave
Massapequa Park, NY 11762-3414
Other names
- Michelle Pickard
Other providers in Williston PK, NY
All providers in Williston PK, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.