National Provider Identifier
Jill Pedersen, MA, CCC-SLP
Jill Pedersen, MA, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lockport, NY and a listed phone number of (626) 260-5450.
Profile Overview
- NPI
- 1619533866
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 14, 2019
- Last Updated
- May 14, 2019
Practice Location
- 6395 Old Niagara RD
- Lockport, NY 14094-1421
Phone: (626) 260-5450
Mailing Address
- 8289 Old Post RD E
- East Amherst, NY 14051-1584
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1619533866
- Entity Type
- Individual
- Last Name
- Pedersen
- First Name
- Jill
- Credential
- MA, CCC-SLP
- Mailing Street Address
- 8289 Old Post RD E
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-1584
- Mailing Country
- US
- Mailing Phone
- (626) 260-5450
- Practice Street Address
- 6395 Old Niagara RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-1421
- Practice Country
- US
- Practice Phone
- (626) 260-5450
- Enumeration Date
- May 14, 2019
- Last Updated
- May 14, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)