Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacklyn Nicole Buddenhagen, MA, CF-SLP

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174087456

Jacklyn Nicole Buddenhagen, MA, CF-SLP is a Student in an Organized Health Care Education/Training Program in Bay Shore, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Bay Shore, NY

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1 Craig B Gariepy Ave, Islip Terrace, NY 11752-2820 — (631) 650-6545

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 029245 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1174087456
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CF-SLP
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESApril 23, 2020
Certification dateApril 23, 2020

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