Jennifer Austin Smith, M.S.CCC/SLP

Individual provider Active NPI Speech-Language Pathologist · Andover, NY

NPI 1740437276 · NPPES record last updated Sep 5, 2008

Key facts

NPI
1740437276
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
009829 (NY)
Practice address
3135 Elm Street
Andover, NY 14806
Phone
(607) 478-8491
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Andover Cental School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 009829 NY Yes

Addresses

Primary practice location

3135 Elm Street
Andover, NY 14806

Mailing address

33 Hillcrest Dr
Alfred, NY 14802-1007
Phone (607) 587-9377

Other providers in Andover, NY

All providers in Andover, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.