National Provider Identifier

Jessica L Group, M.S SLP/CCC-L

Jessica L Group, M.S SLP/CCC-L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Jamestown, NY and a listed phone number of (716) 483-4408.

NPI 1982925954Jamestown, NYSpeech-Language Pathologist

Profile Overview

NPI
1982925954
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 14, 2010
Last Updated
June 14, 2010

Practice Location

  • 41 Hebner St
  • Jamestown, NY 14701-8441

Phone: (716) 483-4408

Mailing Address

  • 41 Hebner Street
  • Jamestown, NY 14701-8441

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1982925954
Entity Type
Individual
Last Name
Group
First Name
Jessica
Middle Name
L
Name Prefix
Mrs.
Credential
M.S SLP/CCC-L
Mailing Street Address
41 Hebner Street
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-8441
Mailing Country
US
Mailing Phone
(716) 483-4408
Mailing Fax
(716) 483-4237
Practice Street Address
41 Hebner St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-8441
Practice Country
US
Practice Phone
(716) 483-4408
Practice Fax
(716) 483-4237
Enumeration Date
June 14, 2010
Last Updated
June 14, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)