National Provider Identifier

Jordyn Bombay

Jordyn Bombay is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Churchville, NY and a listed phone number of (585) 293-1800.

NPI 1053290643Churchville, NYSpeech-Language Pathologist

Profile Overview

NPI
1053290643
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 28, 2025
Last Updated
August 28, 2025

Practice Location

  • 139 Fairbanks RD
  • Churchville, NY 14428-9782

Phone: (585) 293-1800

Mailing Address

  • 67 Lacey Ln
  • Brockport, NY 14420-9355

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1053290643
Entity Type
Individual
Last Name
Bombay
First Name
Jordyn
Mailing Street Address
67 Lacey Ln
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-9355
Mailing Country
US
Mailing Phone
(585) 590-0377
Practice Street Address
139 Fairbanks RD
Practice City
Churchville
Practice State
NY
Practice ZIP Code
14428-9782
Practice Country
US
Practice Phone
(585) 293-1800
Enumeration Date
August 28, 2025
Last Updated
August 28, 2025
Sex
Female
Sole Proprietor
No
Certification Date
August 28, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)