National Provider Identifier

Jacqueline Kay Skinner, CCC-SLP

Jacqueline Kay Skinner, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Kenmore, NY and a listed phone number of (716) 871-9915.

NPI 1578639696Kenmore, NYSpeech-Language Pathologist

Profile Overview

NPI
1578639696
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 28, 2006
Last Updated
July 08, 2007

Practice Location

  • 2565 Elmwood Ave
  • Kenmore, NY 14217-1939

Phone: (716) 871-9915

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1578639696
Entity Type
Individual
Last Name
Skinner
First Name
Jacqueline
Middle Name
Kay
Credential
CCC-SLP
Mailing Street Address
2565 Elmwood Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1939
Mailing Country
US
Mailing Phone
(716) 871-9915
Practice Street Address
2565 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1939
Practice Country
US
Practice Phone
(716) 871-9915
Enumeration Date
November 28, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)