National Provider Identifier
Jennifer Rae Phillips, MS, CCC-SLP/L
Jennifer Rae Phillips, MS, CCC-SLP/L 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
- 1477567675
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- July 27, 2006
- Last Updated
- January 26, 2016
Practice Location
- 774 Fairmount Ave
- Jamestown, NY 14701-2609
Phone: (716) 338-0668
Specialties
- Speech-Language Pathologist (235Z00000X)
- Case Management Agency (251B00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1477567675
- Entity Type
- Individual
- Last Name
- Phillips
- First Name
- Jennifer
- Middle Name
- Rae
- Name Prefix
- Mrs.
- Credential
- MS, CCC-SLP/L
- Provider Other Last Name
- Greene
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- Rae
- Provider Other Credential Text
- MS, CCC-SLP/L
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 774 Fairmount Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2609
- Mailing Country
- US
- Mailing Phone
- (716) 338-0668
- 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
- July 27, 2006
- Last Updated
- January 26, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Case Management Agency (251B00000X), Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 02324358 (NY)