National Provider Identifier
Jessica Lyn Wienke
Jessica Lyn Wienke is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in North Tonawanda, NY and a listed phone number of (716) 523-2737.
Profile Overview
- NPI
- 1992299002
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 21, 2018
- Last Updated
- August 18, 2021
Practice Location
- 309 Oakdale Dr
- North Tonawanda, NY 14120-2403
Phone: (716) 523-2737
Specialties
- Speech-Language Pathologist (235Z00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1992299002
- Entity Type
- Individual
- Last Name
- Wienke
- First Name
- Jessica
- Middle Name
- Lyn
- Mailing Street Address
- 309 Oakdale Dr
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2403
- Mailing Country
- US
- Mailing Phone
- (716) 523-2737
- Practice Street Address
- 309 Oakdale Dr
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-2403
- Practice Country
- US
- Practice Phone
- (716) 523-2737
- Enumeration Date
- June 21, 2018
- Last Updated
- August 18, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- August 18, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Student in an Organized Health Care Education/Training Program (390200000X)