National Provider Identifier
Jennifer Licht, M.A.CCC-SLP/L
Jennifer Licht, M.A.CCC-SLP/L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in North Tonawanda, NY and a listed phone number of (716) 807-3750.
Profile Overview
- NPI
- 1861777344
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 17, 2011
- Last Updated
- October 17, 2011
Practice Location
- 789 Gilmore Ave
- North Tonawanda, NY 14120-6743
Phone: (716) 807-3750
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1861777344
- Entity Type
- Individual
- Last Name
- Licht
- First Name
- Jennifer
- Name Prefix
- Mrs.
- Credential
- M.A.CCC-SLP/L
- Mailing Street Address
- 789 Gilmore Ave
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-6743
- Mailing Country
- US
- Mailing Phone
- (716) 807-3750
- Practice Street Address
- 789 Gilmore Ave
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-6743
- Practice Country
- US
- Practice Phone
- (716) 807-3750
- Enumeration Date
- October 17, 2011
- Last Updated
- October 17, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)