National Provider Identifier
Jessica L Ryan, M.S., CCC-SLP
Jessica L Ryan, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Kenmore, NY and a listed phone number of (716) 871-9883.
Profile Overview
- NPI
- 1114091048
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 20, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2565 Elmwood Ave
- Kenmore, NY 14217-1939
Phone: (716) 871-9883
Mailing Address
- 715 Elmwood Ave
- Apt 3
- Buffalo, NY 14222-1666
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1114091048
- Entity Type
- Individual
- Last Name
- Ryan
- First Name
- Jessica
- Middle Name
- L
- Name Prefix
- MS.
- Credential
- M.S., CCC-SLP
- Mailing Street Address
- 715 Elmwood Ave
- Mailing Address Line 2
- Apt 3
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-1666
- Mailing Country
- US
- Mailing Phone
- (716) 871-9883
- Practice Street Address
- 2565 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1939
- Practice Country
- US
- Practice Phone
- (716) 871-9883
- Enumeration Date
- November 20, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)