Jeanette Glenn, M.S., CCC-A/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58019192 Issued in NY

Practice address

430 Sills Rd
Yaphank, NY 11980-9634

Phone

(631) 924-5583

NPI assigned

Sep 23, 2010

Last updated

Sep 23, 2010By the provider in NPPES

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 Science

State licenses

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1255649380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EASTGATE DR",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823014",
            "telephone_number": "610-209-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SILLS RD",
            "city": "YAPHANK",
            "state": "NY",
            "postal_code": "119809634",
            "telephone_number": "631-924-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JEANETTE",
        "credential": "M.S., CCC-A/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58019192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Findletar Hines, CNM
• Alyssa Fiorelli, PTA
• Casey Patricia Fox
• June H Friedman, LCSW
• Catherine Gerard
• Alexis Godfrey
• Kaylene-Lynn Christina Graffitti, LMSW
• Laura Greenstein, CCC-SLP
• Kristina Gruenheid-Schwimmer
• Karen Hamann-Casella, M.S.

• Speech-Language Pathologist in Yaphank, NY
• Providers in Yaphank, 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 23, 2010; 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.