Spark Speech Therapy, Pllc in Fayetteville, NY

Spark Speech Therapy, Pllc is a Speech-language Pathologist based in Fayetteville, New York. Spark Speech Therapy, Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is 7909 E Ridge Pointe Dr, Fayetteville, New York. It can be reached at their office (for appointments etc.) via phone at (315) 663-8318.

NPI number for Spark Speech Therapy, Pllc is 1629907787 and their current mailing address is 7909 E Ridge Pointe Dr, Fayetteville, New York. Spark Speech Therapy, Pllc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1629907787.

Contact Information

	Spark Speech Therapy, Pllc
	7909 E Ridge Pointe Dr, Fayetteville, NY 13066-9517
	(315) 663-8318
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Spark Speech Therapy, Pllc
Type	Facility
Speciality	Speech-language Pathologist
Location	7909 E Ridge Pointe Dr, Fayetteville, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1629907787
Provider Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026

Medical Identifiers

Medical identifiers for Spark Speech Therapy, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629907787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Spark Speech Therapy, Pllc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Spark Speech Therapy, Pllc 7909 E Ridge Pointe Dr, Fayetteville, NY 13066-9517 Ph: () -	Spark Speech Therapy, Pllc 7909 E Ridge Pointe Dr, Fayetteville, NY 13066-9517 Ph: (315) 663-8318

Reviews and Comments

Speech-Language Pathologist in Fayetteville, NY

Mrs. Alissa Renee Friedman, SLP, MS-CCC-L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 304 Elm St, Fayetteville, NY 13066 Phone: 315-637-2855
Mrs. Janet Eatman, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8 Jamar Dr, Fayetteville, NY 13066 Phone: 734-645-7045
Ms. Lynn Carol Koss, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7030 E Genesee St, The White House Professional Offices, Fayetteville, NY 13066 Phone: 315-446-4202
Jessica Alice Charboneau, M.S,TSSLD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 121 Brookside Ln, Fayetteville, NY 13066 Phone: 315-637-4177
Mrs. Kimberly J Staniec-pinkerton, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 118 Shady Ln, Fayetteville, NY 13066 Phone: 315-632-4712
Ms. Anita Joy Kristall-sclar, M.S. CCC-SP. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5010 Lakeview Dr, Fayetteville, NY 13066 Phone: 315-637-8549

Spark Speech Therapy, Pllc - Speech-Language Pathologist in Fayetteville, NY