National Provider Identifier
Jacquelyn Roach Fowler, MS
Jacquelyn Roach Fowler, MS is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in North Greece, NY and a listed phone number of (585) 966-2475.
Profile Overview
- NPI
- 1811294663
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- February 14, 2011
- Last Updated
- February 14, 2011
Practice Location
- 750 Maiden Lane
- North Greece, NY 14515-0300
Phone: (585) 966-2475
Mailing Address
- 245 East Ave
- Batavia, NY 14020-2737
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1811294663
- Entity Type
- Individual
- Last Name
- Fowler
- First Name
- Jacquelyn
- Middle Name
- Roach
- Credential
- MS
- Mailing Street Address
- 245 East Ave
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-2737
- Mailing Country
- US
- Mailing Phone
- (585) 343-5156
- Practice Street Address
- 750 Maiden Lane
- Practice City
- North Greece
- Practice State
- NY
- Practice ZIP Code
- 14515-0300
- Practice Country
- US
- Practice Phone
- (585) 966-2475
- Enumeration Date
- February 14, 2011
- Last Updated
- February 14, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)