National Provider Identifier
Jenna Lee Gillen, M.S., CCC-SLP
Jenna Lee Gillen, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Ithaca, NY and a listed phone number of (607) 274-2101.
Profile Overview
- NPI
- 1891346599
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 24, 2019
- Last Updated
- September 24, 2019
Practice Location
- 400 Lake St
- Ithaca, NY 14850-2132
Phone: (607) 274-2101
Mailing Address
- 1008 N Madison St
- Rome, NY 13440-3418
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1891346599
- Entity Type
- Individual
- Last Name
- Gillen
- First Name
- Jenna
- Middle Name
- Lee
- Name Prefix
- Miss
- Credential
- M.S., CCC-SLP
- Mailing Street Address
- 1008 N Madison St
- Mailing City
- Rome
- Mailing State
- NY
- Mailing ZIP Code
- 13440-3418
- Mailing Country
- US
- Mailing Phone
- (315) 271-7150
- Practice Street Address
- 400 Lake St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2132
- Practice Country
- US
- Practice Phone
- (607) 274-2101
- Enumeration Date
- September 24, 2019
- Last Updated
- September 24, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 14105406 (American Speech-Language-Hearing Association)