JENNIFER ANDREA PETRUSKI MSED CCC-SLP NPI 1497023626

NPI Information

  • NPI: 1497023626
  • Provider Name: JENNIFER ANDREA PETRUSKI, MSED, CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 345 MOUNTAIN VIEW AVE
    PORT EWEN, NY
    ZIP 12466
  • Phone: (845) 943-3431

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NPI Details

Jennifer Andrea Petruski, MSED, CCC-SLP is a speech language pathologist in Port Ewen, NY. The provider is 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. Jennifer Andrea Petruski, MSED, CCC-SLP NPI is 1497023626. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

345 MOUNTAIN VIEW AVE
PORT EWEN, NY
ZIP 12466
Phone: (845) 943-3431

The enumeration date for this NPI number is 12/2/2011 and was last updated on 12/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist008165-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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