JESSICA LIBERTY (NPI# 1518451459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518451459 |
| Entity Type | Individual |
| Full Name | JESSICA LIBERTY |
| Credential | CF-SLP, TSSLD |
| Practice Address |
207 Hallock Rd Stony Brook NY 11790-3033 |
| Practice Telephone | 6317513838 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1649522111 | Jessica Jean Liberty | Registered Nurse | 50 Plank Rd, Ellenburg Depot, NY 12935-2901 | 2012-10-09 |
| Street Address |
207 HALLOCK RD |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851361414 | Peter Smith | Podiatrist | 207 Hallock Rd, Suite 4, Stony Brook, NY 11790-3033 | 2006-01-25 |
| 1720646805 | Samantha Lynn Renieris | Speech-Language Pathologist | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2019-06-03 |
| 1922501964 | Melissa M Schachter | Speech-Language Pathologist | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2018-03-15 |
| 1891217774 | Marisa Massaro | Family Medicine | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2017-07-12 |
| 1497289037 | Stony Brook Oral and Facial Surgery PC | Dentist | 207 Hallock Rd, Suite 2, Stony Brook, NY 11790-3033 | 2017-04-19 |
| 1306394978 | Doughty and Ryzova Medical Group PC | Pediatrics | 207 Hallock Rd, Suite 106, Stony Brook, NY 11790-3033 | 2016-09-13 |
| 1376099226 | Mireille Toughey | Registered Nurse | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2016-08-31 |
| 1518360197 | Marianne Kaminski | Registered Nurse | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2014-09-26 |
| 1962803163 | Dianne Munnich | Registered Nurse | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2014-09-08 |
| 1407285869 | Doreen Cloughley | Dentist | 207 Hallock Rd, Suite 5, Stony Brook, NY 11790-3033 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930378 | Amanda Paige Deck | Speech-Language Pathologist | 213 Hallock Road, Ste 6, Stony Brook, NY 11790-3000 | 2017-09-07 |
| 1679001432 | Kimberly Lumpkin | Speech-Language Pathologist | 207 Hallock Rd Ste 6, Stony Brook, NY 11790-3072 | 2017-05-24 |
| 1407399108 | Stefanie Frank | Speech-Language Pathologist | 88 University Heights Dr, Stony Brook, NY 11790-2735 | 2016-11-29 |
| 1801273032 | Kristen Ann Cahalan | Speech-Language Pathologist | 5 Yorkshire Ave, Stony Brook, NY 11790-1331 | 2015-04-27 |
| 1891129789 | Jacklyn Morrison | Speech-Language Pathologist | 24 Annandale Rd, Stony Brook, NY 11790-2410 | 2013-08-27 |
| 1255600235 | Stacie Anne Krolikowski | Speech-Language Pathologist | 91 Christian Ave, Stony Brook, NY 11790-1201 | 2011-12-21 |
| 1275801664 | Terri Cohen | Speech-Language Pathologist | 141 Sycamore Cir, Stony Brook, NY 11790-3156 | 2011-12-13 |
| 1639446420 | Kerry Ann Donnelly | Speech-Language Pathologist | 45 Annandale Rd, Stony Brook, NY 11790-2405 | 2011-11-21 |
| 1891099719 | Wendy Louise Lissman | Speech-Language Pathologist | 15 Quaker Hill Road, Stony Brook, NY 11790 | 2011-01-06 |
| 1538478243 | Deirdre Anne Rubino | Speech-Language Pathologist | 7 Midfield St, Stony Brook, NY 11790-2911 | 2010-09-29 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.