National Provider Identifier

Jessica Ann Cirillo Wenck, M.A.-CCC- SLP

Jessica Ann Cirillo Wenck, M.A.-CCC- SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Elmira, NY and a listed phone number of (607) 735-3000.

NPI 1093094765Elmira, NYSpeech-Language Pathologist

Profile Overview

NPI
1093094765
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 11, 2011
Last Updated
December 06, 2012

Practice Location

  • 309 W Thurston St
  • Elmira, NY 14901-1124

Phone: (607) 735-3000

Mailing Address

  • 222 Roosevelt Ave Apt 10
  • Horseheads, NY 14845-8233

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1093094765
Entity Type
Individual
Last Name
Wenck
First Name
Jessica
Middle Name
Ann Cirillo
Name Prefix
Mrs.
Credential
M.A.-CCC- SLP
Mailing Street Address
222 Roosevelt Ave Apt 10
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-8233
Mailing Country
US
Practice Street Address
309 W Thurston St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1124
Practice Country
US
Practice Phone
(607) 735-3000
Enumeration Date
August 11, 2011
Last Updated
December 06, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)