National Provider Identifier
Jeanne M. Ennis, M.S.CCC-SLP
Jeanne M. Ennis, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 874-8400.
Profile Overview
- NPI
- 1003192378
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 31, 2011
- Last Updated
- October 31, 2011
Practice Location
- 1500 Colvin Blvd
- Buffalo, NY 14223-1118
Phone: (716) 874-8400
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1003192378
- Entity Type
- Individual
- Last Name
- Ennis
- First Name
- Jeanne
- Middle Name
- M.
- Name Prefix
- Mrs.
- Credential
- M.S.CCC-SLP
- Provider Other Last Name
- Locicero
- Provider Other First Name
- Jeanne
- Provider Other Middle Name
- M.
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- M.S.CCC-SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1500 Colvin Blvd
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14223-1118
- Mailing Country
- US
- Mailing Phone
- (716) 874-8400
- Practice Street Address
- 1500 Colvin Blvd
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14223-1118
- Practice Country
- US
- Practice Phone
- (716) 874-8400
- Enumeration Date
- October 31, 2011
- Last Updated
- October 31, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)