Julie Ellyn Dwyer, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012783-1 Issued in NY

Practice address

5 Woodbury Rd
Farmingville, NY 11738-2314

Phone

(914) 441-0686

Fax

(631) 846-8338

NPI assigned

Aug 15, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Julie Ellyn Crescas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1619256112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WOODBURY RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382314",
            "telephone_number": "914-441-0686",
            "fax_number": "631-846-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WOODBURY RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382314",
            "telephone_number": "914-441-0686",
            "fax_number": "631-846-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "JULIE",
        "middle_name": "ELLYN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012783-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "CRESCAS",
            "middle_name": "ELLYN",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna O. Donoghue, M.D.
• Amanda Dossey, LPN
• Sarah Dowd
• Steve Robert Drago Jr., LPC-A
• Kelsey Dunlop, RD, CDN
• Jeanne Edelman
• Matthew Edwards
• Mitchell W Ehrlich, M.D.
• Lizzie Espinal, MASTERS
• Patricia A Faele, MS

• Speech-Language Pathologist in Farmingville, NY
• Providers in Farmingville, 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 Aug 15, 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.