National Provider Identifier
Tenille M Thompson, M.S.CCC-SLP
Tenille M Thompson, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Jamestown, NY and a listed phone number of (716) 338-0668.
Profile Overview
- NPI
- 1275995748
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- March 24, 2016
- Last Updated
- October 21, 2021
Practice Location
- 774 Fairmount Ave
- Jamestown, NY 14701-2609
Phone: (716) 338-0668
Mailing Address
- Erie 2 Chautauqua Cattaragus Boces
- 8685 Erie Road
- Angola, NY 14006
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1275995748
- Entity Type
- Individual
- Last Name
- Thompson
- First Name
- Tenille
- Middle Name
- M
- Name Prefix
- Mrs.
- Credential
- M.S.CCC-SLP
- Provider Other Last Name
- Dallas
- Provider Other First Name
- Tenille
- Provider Other Middle Name
- M
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- Erie 2 Chautauqua Cattaragus Boces
- Mailing Address Line 2
- 8685 Erie Road
- Mailing City
- Angola
- Mailing State
- NY
- Mailing ZIP Code
- 14006
- Mailing Country
- US
- Mailing Phone
- (716) 549-4454
- Mailing Fax
- (866) 694-4979
- Practice Street Address
- 774 Fairmount Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2609
- Practice Country
- US
- Practice Phone
- (716) 338-0668
- Practice Fax
- (866) 694-4979
- Enumeration Date
- March 24, 2016
- Last Updated
- October 21, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 21, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 04409252 (NY)