Jessica Lynn Bova, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008787 Issued in PA

Practice address

846 E Wiconisco Ave
Tower City, PA 17980-1609

Phone

(717) 523-1257

NPI assigned

Nov 1, 2010

Last updated

Aug 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica Lynn Snyder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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

• Achieva Rehabilitation LLC

  • Physical Therapist
  • Frackville, PA
  • NPI 1689981573
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1972803369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 ARCHERY CLUB RD",
            "city": "NEW RINGGOLD",
            "state": "PA",
            "postal_code": "179608520",
            "telephone_number": "570-640-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 E WICONISCO AVE",
            "city": "TOWER CITY",
            "state": "PA",
            "postal_code": "179801609",
            "telephone_number": "717-523-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVA",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SNYDER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa C Amershek
• Alysha Marie Balonis, LPC
• Community Ambulance Service Club
• Joel James Digris, M.S.P.T
• Paul Clay Dimon, OPTICIAN
• Elsie J. Wenrich (Leslie W Wenrich Associates)
• Janelle D. Kilmer, M.S., CCC-SLP

• Speech-Language Pathologist in Tower City, PA
• Providers in Tower City, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.