Jessica Ann Cirillo Wenck M.A.-CCC- SLP

NPI 1093094765 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1093094765
Gender Female
Enumeration Date 08/11/2011
Last Updated 12/06/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
309 W THURSTON ST
ELMIRA NY, 14901-1124, US
Phone (607) 735-3000
Fax
Business Location
222 ROOSEVELT AVE APT 10
HORSEHEADS NY, 14845-8233, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 58021265
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According to our database, Mrs. Jessica Ann Cirillo Wenck M.A.-CCC- SLP NPI is 1093094765, taxonomy code is 235Z00000X and license number is 58021265, license state is located at New York. Jessica Ann Cirillo Wenck M.A.-CCC- SLP physically located at 309 W Thurston St, Elmira NY, 14901-1124. NPI Number Jessica Ann Cirillo Wenck M.A.-CCC- SLP has the Individual type.

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1093094765 NPI number is provided on an as is basis without warranty of any kind. 1093094765 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Ann Cirillo Wenck M.A.-CCC- SLP are for informational purposes only.