National Provider Identifier

Jill M Bowen, SLP

Jill M Bowen, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lackawanna, NY and a listed phone number of (716) 827-6741.

NPI 1720364359Lackawanna, NYSpeech-Language Pathologist

Profile Overview

NPI
1720364359
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 27, 2011
Last Updated
October 27, 2011

Practice Location

  • 15 Inner Dr
  • Lackawanna, NY 14218-3626

Phone: (716) 827-6741

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1720364359
Entity Type
Individual
Last Name
Bowen
First Name
Jill
Middle Name
M
Name Prefix
Mrs.
Credential
SLP
Mailing Street Address
15 Inner Dr
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-3626
Mailing Country
US
Mailing Phone
(716) 827-6741
Practice Street Address
15 Inner Dr
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-3626
Practice Country
US
Practice Phone
(716) 827-6741
Enumeration Date
October 27, 2011
Last Updated
October 27, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
01368996 (NY)