Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA RAE EBERHART, M.S. CCC-SLP
Active Sole ProprietorJESSICA RAE EBERHART, M.S. CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in LAKE RONKONKOMA, New York. NPI 1649819392 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1649819392
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2019 (6.6272243186045 yrs)
- Last Updated
- Dec 29, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
622 HAWKINS AVELAKE RONKONKOMA, NY, 117792374Browse NY providers · Browse ZIP 11779
- Phone
- 6312403579
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY P. HOUGHTON | M.A., CCC/SLP | 1891944948 |
| MRS. KERRIN MAUREEN MCBREEN | CCC-SLP | 1477793644 |
| NICOLE RICHARDS | MA, CCC, SLP | 1568606481 |
| GINA M. OLIVA | S.L.P. | 1568768372 |
| KIM H LEONARD | M.A./CCC/SLP | 1770853871 |
| MRS. LINDA JEAN BERGMAN | — | 1558797571 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.