National Provider Identifier
Jessica Takatch, M.S.CCC-SLP
Jessica Takatch, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 966-4700.
Profile Overview
- NPI
- 1205481892
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 09, 2019
- Last Updated
- September 15, 2020
Practice Location
- 2089 Maiden Ln
- Rochester, NY 14626-1246
Phone: (585) 966-4700
Mailing Address
- 831 Pond View Hts
- Rochester, NY 14612-1350
Specialties
- Speech-Language Pathologist (235Z00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Endpoints
- School
Other Url | Direct | Rochester, NY 14616
Full Record
- NPI
- 1205481892
- Entity Type
- Individual
- Last Name
- Takatch
- First Name
- Jessica
- Credential
- M.S.CCC-SLP
- Mailing Street Address
- 831 Pond View Hts
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-1350
- Mailing Country
- US
- Practice Street Address
- 2089 Maiden Ln
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-1246
- Practice Country
- US
- Practice Phone
- (585) 966-4700
- Enumeration Date
- August 09, 2019
- Last Updated
- September 15, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 15, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Student in an Organized Health Care Education/Training Program (390200000X)