National Provider Identifier
Jody Lynne Vonsanden
Jody Lynne Vonsanden is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Pavilion, NY and a listed phone number of (585) 584-8537.
Profile Overview
- NPI
- 1265718597
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 01, 2011
- Last Updated
- November 01, 2011
Practice Location
- 7063 Court RD
- Pavilion, NY 14525-9306
Phone: (585) 584-8537
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1265718597
- Entity Type
- Individual
- Last Name
- Vonsanden
- First Name
- Jody
- Middle Name
- Lynne
- Name Prefix
- Mrs.
- Provider Other Last Name
- Paddock
- Provider Other First Name
- Jody
- Provider Other Middle Name
- Lynne
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 7063 Court RD
- Mailing City
- Pavilion
- Mailing State
- NY
- Mailing ZIP Code
- 14525-9306
- Mailing Country
- US
- Mailing Phone
- (585) 584-8537
- Mailing Fax
- (585) 584-8537
- Practice Street Address
- 7063 Court RD
- Practice City
- Pavilion
- Practice State
- NY
- Practice ZIP Code
- 14525-9306
- Practice Country
- US
- Practice Phone
- (585) 584-8537
- Practice Fax
- (585) 584-8537
- Enumeration Date
- November 01, 2011
- Last Updated
- November 01, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)