Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dana Jo Ketchel, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1497004592

Dana Jo Ketchel, MSCCCSLP is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

1605 Forest Ave
Staten Island, NY 10302 Not confirmed with CMS for 14 years — call before visiting
Phone: (718) 608-9170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 021992-1 (NY)

Record details

NPI number1497004592
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 5, 2012

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