Jennifer Therese Horschel, M.A. CCC/SLP

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

NPI 1962696534 · NPPES record last updated Nov 22, 2011

Key facts

NPI
1962696534
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
013557-1 (NY)
Practice address
3480 South Park Ave
Blasdell, NY 14219
Phone
(716) 926-1750
NPI assigned
Aug 28, 2007
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 Arts

State licenses

LicenseStateTypeSpecialty
013557-1NYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 013557-1 NY Yes

Addresses

Primary practice location

3480 South Park Ave
Blasdell, NY 14219

Mailing address

3480 South Park Ave
Blasdell, NY 14219
Phone (716) 926-1750

Other providers in Blasdell, NY

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

Sources for this page

Verify at the official NPI Registry.