National Provider Identifier
Jessica Kozdemba
Jessica Kozdemba is listed in the NPPES registry with a primary specialty of Speech-Language Assistant in Elmira, NY and a listed phone number of (607) 259-2784.
Profile Overview
- NPI
- 1336527779
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Assistant
- Enumeration Date
- May 18, 2015
- Last Updated
- May 18, 2015
Practice Location
- 107 Grandview Ave
- Elmira, NY 14905-1936
Phone: (607) 259-2784
Specialties
- Speech-Language Assistant (2355S0801X)
Full Record
- NPI
- 1336527779
- Entity Type
- Individual
- Last Name
- Kozdemba
- First Name
- Jessica
- Mailing Street Address
- 107 Grandview Ave
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-1936
- Mailing Country
- US
- Mailing Phone
- (607) 259-2784
- Practice Street Address
- 107 Grandview Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1936
- Practice Country
- US
- Practice Phone
- (607) 259-2784
- Enumeration Date
- May 18, 2015
- Last Updated
- May 18, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Assistant (2355S0801X)