MS. KELLY MARIE GLYNN (NPI# 1881033892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881033892 |
| Entity Type | Individual |
| Full Name | MS. KELLY MARIE GLYNN |
| Credential | CCC-SLP |
| Practice Address |
400 Montauk Hwy Suite 152 Babylon NY 11702-3012 |
| Mailing Address |
45 Cherry Ave Holtsville NY 11742-1750 |
| Practice Telephone | 6316697098 |
| Mailing Telephone | 6318062882 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |
| 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 |
|---|---|---|---|---|
| 1669652988 | Kelly Gardner Glynn | Physician Assistant | 877 W Faris Rd, Ste B, Greenville, SC 29605-5608 | 2007-11-05 |
| Street Address |
400 MONTAUK HWY SUITE 152 |
| City | BABYLON |
| State | NY |
| Zip Code | 11702-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801252911 | Natalee Ambroze | Speech-Language Pathologist | 400 Montauk Hwy, 152, Babylon, NY 11702-3012 | 2016-01-05 |
| 1730550278 | Cara Mattson | Speech-Language Pathologist | 400 Montauk Hwy, Suite 152, Babylon, NY 11702-3012 | 2015-10-09 |
| 1902272214 | Angelique Licari | Speech-Language Pathologist | 400 Montauk Hwy, Suite 152, Babylon, NY 11702-3012 | 2015-08-20 |
| 1447648167 | Rebecca Kass | Speech-Language Pathologist | 400 Montauk Hwy, Suite 152, Babylon, NY 11702-3012 | 2015-01-05 |
| 1720426679 | Mary Lopiano | Contractor | 400 Montauk Hwy, Suite 152, Babylon, NY 11702-3012 | 2013-06-12 |
| 1134481237 | Michael Aaron Kulesa | Speech-Language Pathologist | 400 Montauk Hwy, Suite 152, Babylon, NY 11702-3012 | 2012-06-13 |
| 1457669780 | Linda M Goldberg | Speech-Language Pathologist | 400 Montauk Hwy, Suite 152, Babylon, NY 11702-3012 | 2010-09-21 |
| 1316254527 | Lisa Michele Mone | Specialist/Technologist | 400 Montauk Hwy, Suite 152, Babylon, NY 11702-3012 | 2010-09-09 |
| 1568798619 | South Shore Speech, Language and Swallowing Disorders, Pllc | Early Intervention Provider Agency | 400 Montauk Hwy, Suite 152, Babylon, NY 11702-3012 | 2009-10-26 |
| 1255579785 | South Shore Center for Speech, Language and Swallowing Disorders, LLP | Early Intervention Provider Agency | 400 Montauk Hwy, Suite 152, Babylon, NY 11702-3012 | 2009-01-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1972047124 | Joanne Renee Wenner I | Massage Therapist | 28 Yacght Club Rd, Babylon, NY 11702 | 2016-12-07 |
| 1841743846 | Brian Christopher Penta | Specialist | 11 East Jackson Avenue, Babylon, NY 11702 | 2016-07-27 |
| 1760836654 | Elizabeth Duggan | Registered Nurse | 1 Farmingdale Rd., West Babylon, NY 11702 | 2016-04-18 |
| 1679936595 | Brianna Michelle Renda | Nurse Practitioner | 38 James Street, Babylon, NY 11702 | 2016-03-29 |
| 1861801672 | Margaret Stroehlein | Nurse Practitioner | 28 Edward Ave, Babylon, NY 11702 | 2014-08-06 |
| 1164777397 | Kim Suzanne Sconzo | Speech-Language Pathologist | 10 Grant Ave W., Babylon, NY 11702 | 2012-07-13 |
| 1437459674 | Katz & Wood Inc | Audiologist-Hearing Aid Fitter | 20 Argyle Square, Babylon, NY 11702 | 2010-10-21 |
| 1053643668 | Andrea Wilkinson Ohle | Marriage & Family Therapist | 74 Fire Island Avenue, Suite 104, Babylon, NY 11702 | 2010-02-06 |
| 1477880771 | Robert E Gribbin | Physical Therapist | 400 W Main Street, Suite 340, Babylon, NY 11702 | 2009-11-06 |
| Find all providers in zip 11702 | ||||
| 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 |
|---|---|---|---|---|
| 1780222562 | Jayme Woghin | Speech-Language Pathologist | 400 W Montauk Hwy Ste 152, Babylon, NY 11702-3009 | 2019-12-12 |
| 1992219257 | Jenna Pastuch | Speech-Language Pathologist | 400 Montauk Hwy Ste 152, Babylon, NY 11702-3009 | 2017-11-24 |
| 1962867697 | Amanda Hocevar | Speech-Language Pathologist | 400 W Main St Ste 152, Babylon, NY 11702-3009 | 2015-12-22 |
| 1164777397 | Kim Suzanne Sconzo | Speech-Language Pathologist | 10 Grant Ave W., Babylon, NY 11702 | 2012-07-13 |
| 1932475761 | Jennifer Lynn Leo | Speech-Language Pathologist | 43 Beachwood Dr, Babylon, NY 11702-2425 | 2012-03-27 |
| 1528383379 | Patricia Baldwin | Speech-Language Pathologist | 42 Smith St, Babylon, NY 11702-2306 | 2010-04-05 |
| 1942537329 | Kimberly Joy Mickowski | Speech-Language Pathologist | 16 Lee Ave, Babylon, NY 11702-4211 | 2009-11-05 |
| 1588893531 | Lauren Marie Flaherty | Speech-Language Pathologist | 400 Montauk Hwy., Suite 152, Babylon, NY 11702 | 2009-07-13 |
| 1093940744 | Lauren Michele Yturraspe | Speech-Language Pathologist | 44 Kingsland Pl, Babylon, NY 11702-3814 | 2009-05-26 |
| 1265680052 | Jennifer Jean Romano | Speech-Language Pathologist | 38 Tappan Ave, Babylon, NY 11702-2434 | 2008-09-04 |
| Find all providers in BABYLON | ||||
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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.