Glenda Ivone Alvarado, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Wantagh, NY
NPI 1467686808 · NPPES record last updated Jun 30, 2015
Key facts
- NPI
- 1467686808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 018697-1 (NY)
- Practice address
- 3201 Waterbury Dr
Wantagh, NY 11793-3331 - Phone
- (917) 647-7348
- NPI assigned
- May 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018697-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developing Speech, P.C. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 018697-1 | NY | Yes |
Addresses
Primary practice location
3201 Waterbury Dr
Wantagh, NY 11793-3331
Mailing address
3201 Waterbury Dr
Wantagh, NY 11793-3331
Phone (917) 647-7348
Other providers in Wantagh, NY
- Tatsiana Ahrenstein
- Eno Eucharia Akpowowo
- Elizabeth Almansa
- Lawrence Lazare Alssid
- Victoria Lynn Alssid
- Aimee Grace Ambrosio
- Joseph Ambrosio
- Stephanie S. Anderson
- Adrianna Angiuli
- Amanda Anselme
All providers in Wantagh, 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 Jun 30, 2015. 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.