National Provider Identifier

Nicole Jordan Kern

Nicole Jordan Kern is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Depew, NY and a listed phone number of (716) 901-8700.

NPI 1760176226Depew, NYSpeech-Language Pathologist

Profile Overview

NPI
1760176226
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 07, 2023
Last Updated
November 11, 2025

Practice Location

  • 2049 George Urban Blvd
  • Depew, NY 14043-1823

Phone: (716) 901-8700

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1760176226
Entity Type
Individual
Last Name
Kern
First Name
Nicole
Middle Name
Jordan
Provider Other Last Name
Sperrazza
Provider Other First Name
Nicole
Provider Other Middle Name
Jordan
Provider Other Last Name Type Code
1
Mailing Street Address
2049 George Urban Blvd
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-1823
Mailing Country
US
Practice Street Address
2049 George Urban Blvd
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-1823
Practice Country
US
Practice Phone
(716) 901-8700
Enumeration Date
June 07, 2023
Last Updated
November 11, 2025
Sex
Female
Sole Proprietor
No
Certification Date
November 11, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)