IndividualActive
Stephanie Moran, M.A CCC-SLP TSSLD/BE
NPI 1003311697 · Speech-Language Pathologist · Islip, NY
Provider details
- NPI number
- 1003311697
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A CCC-SLP TSSLD/BE
- Sex
- Female
- Sole proprietor
- Yes
- License
- NA (NY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
59 Elliot St
Islip, NY 11751-2035
Phone: (631) 521-6406
Street-level locationGet directions
Mailing address
639 Americus Ave
East Patchogue, NY 11772-5105
Registry dates
- Enumerated
- 2018-03-27
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.