National Provider Identifier

Jill Marie O'Connor, M.S.ED/CCC-SLP

Jill Marie O'Connor, M.S.ED/CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 362-0020.

NPI 1982851739Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1982851739
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 23, 2008
Last Updated
May 09, 2019

Practice Location

  • 90 Pearl St
  • Buffalo, NY 14202-4106

Phone: (716) 362-0020

Mailing Address

  • 6167 W Quaker St
  • Orchard Park, NY 14127-2640

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1982851739
Entity Type
Individual
Last Name
O'Connor
First Name
Jill
Middle Name
Marie
Credential
M.S.ED/CCC-SLP
Mailing Street Address
6167 W Quaker St
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2640
Mailing Country
US
Mailing Phone
(716) 560-0536
Practice Street Address
90 Pearl St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-4106
Practice Country
US
Practice Phone
(716) 362-0020
Enumeration Date
August 23, 2008
Last Updated
May 09, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
1982851739 (NY)