National Provider Identifier

Jessica Passero, M.A.CCC-SLP

Jessica Passero, M.A.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 377-2230.

NPI 1619106002Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1619106002
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
July 07, 2009
Last Updated
July 01, 2013

Practice Location

  • 149 N Main St
  • Fairport, NY 14450-1434

Phone: (585) 377-2230

Mailing Address

  • 133 Clearview Dr
  • Penfield, NY 14526-2517

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1619106002
Entity Type
Individual
Last Name
Passero
First Name
Jessica
Name Prefix
Mrs.
Credential
M.A.CCC-SLP
Mailing Street Address
133 Clearview Dr
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-2517
Mailing Country
US
Mailing Phone
(845) 551-4161
Practice Street Address
149 N Main St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1434
Practice Country
US
Practice Phone
(585) 377-2230
Enumeration Date
July 07, 2009
Last Updated
July 01, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)