| 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 |