National Provider Identifier

Jennifer Patricia McMahon, M.S., CCC-SLP

Jennifer Patricia McMahon, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Horseheads, NY and a listed phone number of (607) 739-5601.

NPI 1477987147Horseheads, NYSpeech-Language Pathologist

Profile Overview

NPI
1477987147
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 29, 2013
Last Updated
November 24, 2023

Practice Location

  • 143 Hibbard RD
  • Horseheads, NY 14845

Phone: (607) 739-5601

Mailing Address

  • 402 Greystone Drive
  • Horseheads, NY 14845-1307

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1477987147
Entity Type
Individual
Last Name
McMahon
First Name
Jennifer
Middle Name
Patricia
Name Prefix
Mrs.
Credential
M.S., CCC-SLP
Provider Other Last Name
McMillen
Provider Other First Name
Jennifer
Provider Other Middle Name
Patricia
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
402 Greystone Drive
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-1307
Mailing Country
US
Mailing Phone
(607) 857-5361
Practice Street Address
143 Hibbard RD
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845
Practice Country
US
Practice Phone
(607) 739-5601
Enumeration Date
August 29, 2013
Last Updated
November 24, 2023
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)