MEDICARE: HARLEY SPEECH PATHOLOGY SERVICES

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

General Provider Information

NPI Number	:	1932050978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARLEY SPEECH PATHOLOGY SERVICES

Provider Business Mailing Address
First Line	:	2058 ELLIOT ST
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-5001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 MYRTLE AVE APT 3D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1472
Country	:	US
Telephone Number	:	914-458-1298
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	MS. KYRA HARLEY
Credential	:	CCC-SLP
Telephone Number	:	917-957-5471

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “HARLEY SPEECH PATHOLOGY SERVICES ” Practice Location

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