National Provider Identifier

Jessica F Star

Jessica F Star is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (646) 752-1334.

NPI 1649878430Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1649878430
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 13, 2020
Last Updated
October 13, 2020

Practice Location

  • 158 Normal Ave
  • Buffalo, NY 14213-2518

Phone: (646) 752-1334

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1649878430
Entity Type
Individual
Last Name
Star
First Name
Jessica
Middle Name
F
Mailing Street Address
158 Normal Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-2518
Mailing Country
US
Mailing Phone
(646) 752-1334
Practice Street Address
158 Normal Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-2518
Practice Country
US
Practice Phone
(646) 752-1334
Enumeration Date
October 13, 2020
Last Updated
October 13, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
October 13, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)