National Provider Identifier

Stacie Marie Jenkins, M.A.CCC-SLP

Stacie Marie Jenkins, M.A.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 828-9467.

NPI 1871759753Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1871759753
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
July 31, 2008
Last Updated
June 18, 2012

Practice Location

  • 51 Saint Johns Parkside St
  • Buffalo, NY 14210-2515

Phone: (716) 828-9467

Mailing Address

  • 50 Amana Pl
  • West Seneca, NY 14224-3049

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1871759753
Entity Type
Individual
Last Name
Jenkins
First Name
Stacie
Middle Name
Marie
Credential
M.A.CCC-SLP
Mailing Street Address
50 Amana Pl
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-3049
Mailing Country
US
Mailing Phone
(716) 828-7426
Practice Street Address
51 Saint Johns Parkside St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14210-2515
Practice Country
US
Practice Phone
(716) 828-9467
Enumeration Date
July 31, 2008
Last Updated
June 18, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)