National Provider Identifier
Jennifer Kay Divine, SLP
Jennifer Kay Divine, SLP is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Orchard Park, NY and a listed phone number of (716) 662-4800.
Profile Overview
- NPI
- 1821731183
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 15, 2022
- Last Updated
- April 15, 2022
Practice Location
- 6167 W Quaker St
- Orchard Park, NY 14127-2640
Phone: (716) 662-4800
Mailing Address
- 5563 Meadow Dr
- Hamburg, NY 14075-6935
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1821731183
- Entity Type
- Individual
- Last Name
- Divine
- First Name
- Jennifer
- Middle Name
- Kay
- Credential
- SLP
- Mailing Street Address
- 5563 Meadow Dr
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-6935
- Mailing Country
- US
- Mailing Phone
- (716) 803-0625
- Mailing Fax
- (716) 662-5700
- Practice Street Address
- 6167 W Quaker St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2640
- Practice Country
- US
- Practice Phone
- (716) 662-4800
- Practice Fax
- (716) 662-4700
- Enumeration Date
- April 15, 2022
- Last Updated
- April 15, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 15, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Speech-Language Pathologist (235Z00000X)