National Provider Identifier
Jacquelyn Laurel Bosworth
Jacquelyn Laurel Bosworth is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Canisteo, NY and a listed phone number of (716) 307-5322.
Profile Overview
- NPI
- 1912368291
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- March 14, 2016
- Last Updated
- March 14, 2016
Practice Location
- 84 Greenwood St
- Canisteo, NY 14823-1230
Phone: (716) 307-5322
Mailing Address
- 233 Vincent St
- Hornell, NY 14843-1840
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1912368291
- Entity Type
- Individual
- Last Name
- Bosworth
- First Name
- Jacquelyn
- Middle Name
- Laurel
- Name Prefix
- Mrs.
- Mailing Street Address
- 233 Vincent St
- Mailing City
- Hornell
- Mailing State
- NY
- Mailing ZIP Code
- 14843-1840
- Mailing Country
- US
- Mailing Phone
- (716) 307-5322
- Practice Street Address
- 84 Greenwood St
- Practice City
- Canisteo
- Practice State
- NY
- Practice ZIP Code
- 14823-1230
- Practice Country
- US
- Practice Phone
- (716) 307-5322
- Enumeration Date
- March 14, 2016
- Last Updated
- March 14, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)