National Provider Identifier

Jenna Rose Mastin, MA, CF-SLP

Jenna Rose Mastin, MA, CF-SLP is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1902464530Victor, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1902464530
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 29, 2019
Last Updated
May 29, 2019

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 1931 Worden RD
  • Seneca Falls, NY 13148-9722

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1902464530
Entity Type
Individual
Last Name
Mastin
First Name
Jenna
Middle Name
Rose
Credential
MA, CF-SLP
Mailing Street Address
1931 Worden RD
Mailing City
Seneca Falls
Mailing State
NY
Mailing ZIP Code
13148-9722
Mailing Country
US
Mailing Phone
(315) 651-9604
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
May 29, 2019
Last Updated
May 29, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)