Jessica Alice Charboneau, M.S,TSSLD, CCC-SLP

Speech-Language Pathologist · Fayetteville, NY

Individual Active NPI

NPI number 1487995379

Practice location

121 Brookside Ln
Fayetteville, NY 13066-1509
Phone
(315) 637-4177

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NPI record

NPI
1487995379
Entity type
Individual (Type 1)
Enumeration date
March 3, 2013
Last updated
March 3, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 022581-1 NY

About Jessica Charboneau

Jessica Alice Charboneau, M.S,TSSLD, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 121 Brookside Ln, Fayetteville, NY 13066-1509. The NPI number 1487995379 was assigned on March 3, 2013 and the record was last updated on March 3, 2013.

Jessica Charboneau lists a license in the registry: #022581-1 (NY) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica Alice Charboneau, M.S,TSSLD, CCC-SLP?

The NPI number is 1487995379.

What is the phone number of Jessica Charboneau?

The phone number listed for the practice location is (315) 637-4177.

Where is Jessica Charboneau located?

121 Brookside Ln, Fayetteville, NY 13066-1509.

What is the taxonomy code for Jessica Charboneau?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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