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Mid-Island Speech Language Pathology, Pllc

Speech-Language Pathologist in Holbrook, NY · enumerated 2018 · authorized official Jaclyn Havlicek, Speech Pathologist, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780191288

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Registry record

Entity type Organization (Type 2)
Legal business name Mid-Island Speech Language Pathology, Pllc
Practice address 24 Donald Street, Holbrook, NY, 11741
Phone (631) 387-1926
Enumeration date Jan 5, 2018
Last updated in NPPES Jan 5, 2018

Taxonomy & classification

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License 108418 (NY) Primary

Authorized official

Name Jaclyn Havlicek
Title Speech Pathologist, Owner
Phone (631) 387-1926

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mid-Island Speech Language Pathology, Pllc?
The NPI for Mid-Island Speech Language Pathology, Pllc is 1780191288, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mid-Island Speech Language Pathology, Pllc?
NPPES lists Jaclyn Havlicek (Speech Pathologist, Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-05.