Jamie Maria Hansen, MS CCC/SLP NYLICENSE
Individual provider Active NPI Speech-Language Pathologist · Bowmansville, NY
NPI 1902198567 · NPPES record last updated May 13, 2011
Key facts
- NPI
- 1902198567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 010584-1 (NY)
- Practice address
- 5360 Genesee St
Bowmansville, NY 14026-1044 - Phone
- (716) 783-3153
- NPI assigned
- May 13, 2011
- 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 |
|---|---|---|---|
| 010584-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 010584-1 | NY | Yes |
Addresses
Primary practice location
5360 Genesee St
Bowmansville, NY 14026-1044
Mailing address
5360 Genesee St
Bowmansville, NY 14026-1044
Phone (716) 783-3153
Other providers in Bowmansville, NY
- Gateway-Longview Therapeutic Preschool
- Gateway-Longview, Inc.
- Stephanie Grella
- Candice Gunn
- Michael Thomas Guppenberger
- Danielle Hoover
- Wendy Lynn Januchowski
- Karen'S Counseling
- Renee Laclair
- Bethany Laufer
All providers in Bowmansville, 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 May 13, 2011. 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.