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Deactivated NPI 1134693328 Deactivated / Inactive NPI Female Practitioner

Jaime Lyn Lavallo

Speech-Language Pathologist • Leonardo, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jaime Lavallo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2019
NPI Deactivation Date June 21, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Jaime Lavallo was a registered Speech-Language Pathologist practicing in Leonardo, NJ. Throughout an active medical career spanning 1 years, Jaime Lavallo provided care at the practice location at 950 ROUTE 36 until profile deactivation on 2019-06-21.

Practice Location & Contact Primary Location

Practice Address

950 Route 36
Suite 100a

Leonardo, NJ 07737

Telephone 7326391551
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Leonardo, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Leonardo, NJ (4944 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Lori Guild , MA CCC-SLP

Speech-Language Pathologist

NPI 1154038941

MACCCSLP

Amanda Schulmann , CF-SLP

Speech-Language Pathologist

NPI 1184514168

Clinical Fellow in Speech-Language Pathology

Kristen Kerrigan , CCC-SLP

Speech-Language Pathologist

NPI 1255039731

Speech-Language Pathologist (Certificate of Clinical Competence)

Natalie Soto , SLP

Speech-Language Pathologist

NPI 1295333482

Speech-Language Pathologist

Victoria Freda , OTR, L

Occupational Therapist - Pediatrics

NPI 1447962618

Occupational Therapist Registered, L

Amanda Andrade , MA, CCC-SLP

Speech-Language Pathologist

NPI 1457129918

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 10, 2019

Registered at 950 ROUTE 36, SUITE 100A, LEONARDO, NJ 07737 (Tel: 7326391551)

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Updated Business Mailing Address July 10, 2019

Registered at 1208 ROUTE 34, ABERDEEN, NJ 077471940 (Tel: 7327051582)

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Provider Name / Credentials Updated July 10, 2019

Recorded as JAIME LAVALLO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2019

Speech-Language Pathologist

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NPI Profile Deactivated June 21, 2019

Record deactivated on June 21, 2019

NPI Profile Active January 22, 2019

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2019

Registered at 1208 ROUTE 34, ABERDEEN, NJ 077471940 (Tel: 7327051582)

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Updated Business Mailing Address January 22, 2019

Registered at 1208 ROUTE 34, ABERDEEN, NJ 077471940 (Tel: 7327051582)

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Provider Name / Credentials Updated January 22, 2019

Recorded as JAIME LAVALLO

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2019

Speech-Language Pathologist

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Initial NPI Registration & Enumeration January 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
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NPI Administrative Meta

NPI Number: 1134693328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2019
Last Update: July 10, 2019
Deactivation Date: June 21, 2019
Sole Proprietor: Yes

Mailing Address

1208 Route 34

Aberdeen, NJ 077471940

Phone: 7327051582

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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