National Provider Identifier

Jenelle Carr Glover, M.S., CCC-SLP

Jenelle Carr Glover, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Painted Post, NY and a listed phone number of (607) 936-6514.

NPI 1639479215Painted Post, NYSpeech-Language Pathologist

Profile Overview

NPI
1639479215
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 28, 2010
Last Updated
July 17, 2014

Practice Location

  • 16 Beartown RD
  • Painted Post, NY 14870-9320

Phone: (607) 936-6514

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1639479215
Entity Type
Individual
Last Name
Glover
First Name
Jenelle
Middle Name
Carr
Name Prefix
MS.
Credential
M.S., CCC-SLP
Mailing Street Address
16 Beartown RD
Mailing City
Painted Post
Mailing State
NY
Mailing ZIP Code
14870-9320
Mailing Country
US
Mailing Phone
(607) 936-6514
Practice Street Address
16 Beartown RD
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-9320
Practice Country
US
Practice Phone
(607) 936-6514
Enumeration Date
October 28, 2010
Last Updated
July 17, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
SLP LICENSE (NY, 018805-1)