MEDICARE: MRS. CASSIDY RAE BARBIERI M.A. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	030684	NY
2	235Z00000X	Speech-Language Pathologist	41YS01200900	NJ

General Provider Information

NPI Number	:	1528635364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CASSIDY RAE BARBIERI M.A. CCC-SLP

Provider Business Mailing Address
First Line	:	939 LAMONT AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-2207
Country	:	US
Telephone Number	:	917-647-2722
Fax Number	:

Provider Business Practice Location Address
First Line	:	939 LAMONT AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-2207
Country	:	US
Telephone Number	:	917-647-2722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2021
Last Update Date	:	01/21/2026

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