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Active NPI 1255649380 Individual Practitioner Female Practitioner

Jeanette Glenn , MS, CCC-A, SLP

Speech-Language Pathologist • Yaphank, NY

Professional Overview & Biography Verified Profile Summary

Jeanette Glenn, MS, CCC-A, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Yaphank, NY. Practice services are available at 430 SILLS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

430 Sills Rd

Yaphank, NY 119809634

Telephone 6319245583
Associated Practice Facility / Clinic
🏢 New Interdisciplinary School Facility NPI 1598806564

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Yaphank, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Yaphank, NY (25106 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

State License NY 58019192

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

18 Associated Practitioners
Dr. Samantha Boutis , PsyD

Psychologist - School

NPI 1033353750

Doctor of Psychology (Psy.D.)

Haley Mileski

Physical Therapy Assistant

NPI 1083538565
Elena Rivera

Early Intervention Provider Agency

NPI 1114762507
Chelsea Howard

Early Intervention Provider Agency

NPI 1114840501
NPI 1316506769

Master of Science in Education

NPI 1316580111

Licensed Master Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 23, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2010

Registered at 430 SILLS RD, YAPHANK, NY 119809634 (Tel: 6319245583)

📍
Updated Business Mailing Address September 23, 2010

Registered at 1 EASTGATE DR, SAYVILLE, NY 117823014 (Tel: 6102094313)

👤
Provider Name / Credentials Updated September 23, 2010

Recorded as JEANETTE GLENN, M.S., CCC-A/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2010

Speech-Language Pathologist (License #58019192 in NY)

🟢
Initial NPI Registration & Enumeration September 23, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255649380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2010
Last Update: September 23, 2010
Sole Proprietor: No

Mailing Address

1 Eastgate Dr

Sayville, NY 117823014

Phone: 6102094313

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.