National Provider Identifier
Elizabeth R Jagoda, MS CCC SLP/L
Elizabeth R Jagoda, 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
- 1619294758
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- April 29, 2010
- Last Updated
- November 25, 2013
Practice Location
- 774 Fairmount Ave
- Jamestown, NY 14701-2609
Phone: (716) 338-0668
Mailing Address
- 774 Fairmount Ave
- Billing Department
- Jamestown, NY 14701-2609
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1619294758
- Entity Type
- Individual
- Last Name
- Jagoda
- First Name
- Elizabeth
- Middle Name
- R
- Credential
- MS CCC SLP/L
- Provider Other Last Name
- Wilger
- Provider Other First Name
- Elizabeth
- Provider Other Middle Name
- R
- Provider Other Credential Text
- MS CCC-SLP/L
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 774 Fairmount Ave
- Mailing Address Line 2
- Billing Department
- 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
- April 29, 2010
- Last Updated
- November 25, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)