National Provider Identifier

Jennifer L Frey, MS, CCC/LSLP

Jennifer L Frey, MS, CCC/LSLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Wilson, NY and a listed phone number of (716) 751-9341.

NPI 1457620411Wilson, NYSpeech-Language Pathologist

Profile Overview

NPI
1457620411
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 21, 2011
Last Updated
December 21, 2011

Practice Location

  • 430 Young St
  • Wilson, NY 14172-9745

Phone: (716) 751-9341

Mailing Address

  • 412 Lake St
  • Wilson, NY 14172-9798

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1457620411
Entity Type
Individual
Last Name
Frey
First Name
Jennifer
Middle Name
L
Credential
MS, CCC/LSLP
Mailing Street Address
412 Lake St
Mailing City
Wilson
Mailing State
NY
Mailing ZIP Code
14172-9798
Mailing Country
US
Mailing Phone
(716) 751-9341
Practice Street Address
430 Young St
Practice City
Wilson
Practice State
NY
Practice ZIP Code
14172-9745
Practice Country
US
Practice Phone
(716) 751-9341
Enumeration Date
December 21, 2011
Last Updated
December 21, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)