National Provider Identifier

Jessica Lynn O'Hern, M.A.CCC/SLP

Jessica Lynn O'Hern, M.A.CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in North Tonawanda, NY and a listed phone number of (716) 807-3850.

NPI 1518240944North Tonawanda, NYSpeech-Language Pathologist

Profile Overview

NPI
1518240944
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 22, 2011
Last Updated
September 22, 2011

Practice Location

  • 195 Spruce St
  • North Tonawanda, NY 14120-5664

Phone: (716) 807-3850

Mailing Address

  • 252 Enez Dr
  • Depew, NY 14043-1210

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1518240944
Entity Type
Individual
Last Name
O'Hern
First Name
Jessica
Middle Name
Lynn
Name Prefix
Mrs.
Credential
M.A.CCC/SLP
Mailing Street Address
252 Enez Dr
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-1210
Mailing Country
US
Mailing Phone
(716) 684-5087
Practice Street Address
195 Spruce St
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-5664
Practice Country
US
Practice Phone
(716) 807-3850
Enumeration Date
September 22, 2011
Last Updated
September 22, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)