National Provider Identifier
Jordan Catherine Camblin, M.S.CCC-SLP
Jordan Catherine Camblin, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Tonawanda, NY and a listed phone number of (716) 876-3901.
Profile Overview
- NPI
- 1861044000
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- July 09, 2019
- Last Updated
- November 23, 2021
Practice Location
- 205 Yorkshire RD
- Tonawanda, NY 14150-8350
Phone: (716) 876-3901
Mailing Address
- 5500 N Bailey Ave Unit 1770
- Amherst, NY 14226-6970
Specialties
- Speech-Language Pathologist (235Z00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1861044000
- Entity Type
- Individual
- Last Name
- Camblin
- First Name
- Jordan
- Middle Name
- Catherine
- Credential
- M.S.CCC-SLP
- Provider Other Last Name
- Taney
- Provider Other First Name
- Jordan
- Provider Other Middle Name
- Catherine
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 5500 N Bailey Ave Unit 1770
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-6970
- Mailing Country
- US
- Practice Street Address
- 205 Yorkshire RD
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-8350
- Practice Country
- US
- Practice Phone
- (716) 876-3901
- Enumeration Date
- July 09, 2019
- Last Updated
- November 23, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 23, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Student in an Organized Health Care Education/Training Program (390200000X)