Laurie Jill Mullodzhanov, MS, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

014847 Issued in NY

Practice address

8745 117TH St
Speech Therapy Office
Richmond Hill, NY 11418-2429

Phone

(718) 850-0738

Fax

(718) 850-0830

NPI assigned

Nov 24, 2009

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

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1679801906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 66TH RD APT 5D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752173",
            "telephone_number": "516-650-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 117TH ST",
            "address_2": "SPEECH THERAPY OFFICE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182429",
            "telephone_number": "718-850-0738",
            "fax_number": "718-850-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLODZHANOV",
        "first_name": "LAURIE",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Philip Montemayor
• Darelis Moran, MS, RDN
• Alicia Nora Morrison, RPA-C
• Marianna Mostovaya, M.S. ED.
• Natan Mulady
• Irina Mullokandova, D.O.
• Taimoor Munawar, MD
• Vijay Asish Muni, MS, OTR/L, CHT
• Lauren Juliet Murphy, CASAC-T
• Shikeena Murrille

• Speech-Language Pathologist in Richmond Hill, NY
• Providers in Richmond Hill, 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 Feb 1, 2017; 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.