National Provider Identifier

Jill Lynn Isaac, M.S., CCC-SLP

Jill Lynn Isaac, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 421-2155.

NPI 1053694406Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1053694406
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 22, 2011
Last Updated
September 22, 2011

Practice Location

  • 211 Hamilton RD
  • Fairport, NY 14450-9711

Phone: (585) 421-2155

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1053694406
Entity Type
Individual
Last Name
Isaac
First Name
Jill
Middle Name
Lynn
Credential
M.S., CCC-SLP
Mailing Street Address
211 Hamilton RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-9711
Mailing Country
US
Mailing Phone
(585) 421-2155
Practice Street Address
211 Hamilton RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-9711
Practice Country
US
Practice Phone
(585) 421-2155
Enumeration Date
September 22, 2011
Last Updated
September 22, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)