Healthcare Provider Details

I. General information

NPI: 1518872936
Provider Name (Legal Business Name): ALINE SPEECH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 WALTER CT
SELDEN NY
11784-1438
US

IV. Provider business mailing address

6 WALTER CT
SELDEN NY
11784-1438
US

V. Phone/Fax

Practice location:
  • Phone: 631-338-9876
  • Fax:
Mailing address:
  • Phone: 631-338-9876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY MARINO
Title or Position: SLP
Credential: MS, CCC-SLP, TSSLD
Phone: 631-338-9876