National Provider Identifier

Jessica Karen Olender, MA, CCC-SLP

Jessica Karen Olender, MA, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Amherst, NY and a listed phone number of (716) 204-5925.

NPI 1669874244Amherst, NYSpeech-Language Pathologist

Profile Overview

NPI
1669874244
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 25, 2014
Last Updated
February 13, 2021

Practice Location

  • 331 Alberta Dr
  • Suite 110
  • Amherst, NY 14226-1813

Phone: (716) 204-5925

Mailing Address

  • 68 Olmstead Ave
  • Depew, NY 14043-2333

Specialties

  • Speech-Language Pathologist (235Z00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1669874244
Entity Type
Individual
Last Name
Olender
First Name
Jessica
Middle Name
Karen
Credential
MA, CCC-SLP
Provider Other Last Name
Sam
Provider Other First Name
Jessica
Provider Other Credential Text
MA, CCC-SLP
Provider Other Last Name Type Code
1
Mailing Street Address
68 Olmstead Ave
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-2333
Mailing Country
US
Mailing Phone
(716) 697-0788
Practice Street Address
331 Alberta Dr
Practice Address Line 2
Suite 110
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-1813
Practice Country
US
Practice Phone
(716) 204-5925
Practice Fax
(716) 204-5926
Enumeration Date
September 25, 2014
Last Updated
February 13, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 11, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X), Student in an Organized Health Care Education/Training Program (390200000X)
Other Identifiers
04168681 (NY), 325 (NY, Medicaid Cln Sp Cd: Early Intervention)