Jessica Catherine Bartolotta, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Glasco, NY
NPI 1407000367 · NPPES record last updated Nov 5, 2008
Key facts
- NPI
- 1407000367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 017529-1 (NY)
- Practice address
- 212 Union St
Glasco, NY 12432 - Phone
- (845) 594-1374
- NPI assigned
- Nov 5, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017529-1 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 017529-1 | NY | Yes |
Addresses
Primary practice location
212 Union St
Glasco, NY 12432
Mailing address
PO Box 737
Glasco, NY 12432-0737
Phone (845) 594-1374
Other providers in Glasco, NY
All providers in Glasco, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.