National Provider Identifier

Jessica Young, MS CCC-SLP

Jessica Young, MS CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Cheektowaga, NY and a listed phone number of (716) 465-4966.

NPI 1649715285Cheektowaga, NYSpeech-Language Pathologist

Profile Overview

NPI
1649715285
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
January 05, 2017
Last Updated
January 05, 2017

Practice Location

  • 50 Lucille Dr
  • Cheektowaga, NY 14225-2244

Phone: (716) 465-4966

Specialties

  • Speech-Language Pathologist (235Z00000X)
  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1649715285
Entity Type
Individual
Last Name
Young
First Name
Jessica
Credential
MS CCC-SLP
Mailing Street Address
50 Lucille Dr
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-2244
Mailing Country
US
Mailing Phone
(716) 465-4966
Practice Street Address
50 Lucille Dr
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-2244
Practice Country
US
Practice Phone
(716) 465-4966
Enumeration Date
January 05, 2017
Last Updated
January 05, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)