National Provider Identifier
Jackie Wachob, M.S.SLP
Jackie Wachob, M.S.SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Pittsford, NY and a listed phone number of (585) 267-1732.
Profile Overview
- NPI
- 1962890558
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- January 05, 2015
- Last Updated
- January 05, 2015
Practice Location
- 431 Thornell RD
- Pittsford, NY 14534-9750
Phone: (585) 267-1732
Mailing Address
- 75 Barker RD
- Pittsford, NY 14534-2929
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1962890558
- Entity Type
- Individual
- Last Name
- Wachob
- First Name
- Jackie
- Name Prefix
- Mrs.
- Credential
- M.S.SLP
- Mailing Street Address
- 75 Barker RD
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-2929
- Mailing Country
- US
- Practice Street Address
- 431 Thornell RD
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-9750
- Practice Country
- US
- Practice Phone
- (585) 267-1732
- Enumeration Date
- January 05, 2015
- Last Updated
- January 05, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)