National Provider Identifier

Jennifer R Wiede, MS CCC-SLP

Jennifer R Wiede, MS CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Springville, NY and a listed phone number of (716) 592-9331.

NPI 1447405071Springville, NYSpeech-Language Pathologist

Profile Overview

NPI
1447405071
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 24, 2008
Last Updated
November 24, 2008

Practice Location

  • 393 North St
  • Springville, NY 14141-9652

Phone: (716) 592-9331

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1447405071
Entity Type
Individual
Last Name
Wiede
First Name
Jennifer
Middle Name
R
Name Prefix
Mrs.
Credential
MS CCC-SLP
Mailing Street Address
393 North St
Mailing City
Springville
Mailing State
NY
Mailing ZIP Code
14141-9652
Mailing Country
US
Mailing Phone
(716) 592-9331
Mailing Fax
(716) 592-4683
Practice Street Address
393 North St
Practice City
Springville
Practice State
NY
Practice ZIP Code
14141-9652
Practice Country
US
Practice Phone
(716) 592-9331
Practice Fax
(716) 592-4683
Enumeration Date
November 24, 2008
Last Updated
November 24, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)