| Melissa Nancy Jensen, MA, CCC/SLP | |
|
325 N Kentucky Ave, North Massapequa, NY 11758-1120 | |
| (516) 473-3376 | |
| Not Available |
| Full Name | Melissa Nancy Jensen |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 325 N Kentucky Ave, North Massapequa, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043518681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 017973 (New York) | Primary |
| Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Nancy Jensen, MA, CCC/SLP 325 N Kentucky Ave, North Massapequa, NY 11758-1120 Ph: (516) 473-3376 | Melissa Nancy Jensen, MA, CCC/SLP 325 N Kentucky Ave, North Massapequa, NY 11758-1120 Ph: (516) 473-3376 |
Piera Barretta Interdonati, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 369 N Virginia Ave, North Massapequa, NY 11758 Phone: 516-586-3418 | |
Allison Dreyer, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 71 Daniel Rd N, North Massapequa, NY 11758 Phone: 516-698-1270 | |
Olivia Ann Lechner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 N Albany Ave, North Massapequa, NY 11758 Phone: 631-942-9552 |