Clarissa Maria Mozzo, M.A., CCC-SLP, TSSLD
Speech-Language Pathologist, in Bronx, NY. Individual provider (NPI-1).
NPI number1962386672
StatusActive
Last updated in NPPESAug 5, 2025
Details
- NPI
- 1962386672
- Entity type
- Individual (NPI-1)
- Name
- Clarissa Maria Mozzo
- Credential
- M.A., CCC-SLP, TSSLD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2025
- Certification date
- Aug 5, 2025
- Last updated
- Aug 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 035812 | NY | Yes |
Practice location
2200 Aqueduct Ave EBronx, NY 10453-1400
Phone 718-584-5805
Mailing address
2200 Aqueduct Ave EBronx, NY 10453-1400
Phone 718-584-5805
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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