National Provider Identifier

Jill Wickman Escriva

Jill Wickman Escriva is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Macedon, NY and a listed phone number of (315) 986-5779.

NPI 1013173558Macedon, NYSpeech-Language Pathologist

Profile Overview

NPI
1013173558
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 04, 2008
Last Updated
August 04, 2008

Practice Location

  • 2503 Canandaigua RD
  • Macedon, NY 14502-8842

Phone: (315) 986-5779

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1013173558
Entity Type
Individual
Last Name
Escriva
First Name
Jill
Middle Name
Wickman
Name Prefix
Mrs.
Mailing Street Address
2503 Canandaigua RD
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-8842
Mailing Country
US
Mailing Phone
(315) 986-5779
Practice Street Address
2503 Canandaigua RD
Practice City
Macedon
Practice State
NY
Practice ZIP Code
14502-8842
Practice Country
US
Practice Phone
(315) 986-5779
Enumeration Date
August 04, 2008
Last Updated
August 04, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
8709-1 (NY, Nys License; Speech Pathologist)