National Provider Identifier
Jordan Short, M.S.ED., TSSLD
Jordan Short, M.S.ED., TSSLD is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Depew, NY and a listed phone number of (716) 901-8700.
Profile Overview
- NPI
- 1982430963
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 09, 2024
- Last Updated
- September 09, 2024
Practice Location
- 2049 George Urban Blvd
- Depew, NY 14043-1823
Phone: (716) 901-8700
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1982430963
- Entity Type
- Individual
- Last Name
- Short
- First Name
- Jordan
- Credential
- M.S.ED., TSSLD
- Mailing Street Address
- 2049 George Urban Blvd
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-1823
- Mailing Country
- US
- Practice Street Address
- 2049 George Urban Blvd
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-1823
- Practice Country
- US
- Practice Phone
- (716) 901-8700
- Enumeration Date
- September 09, 2024
- Last Updated
- September 09, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)