SearchNew York235Z00000X

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

NPI 1487995379 · on the registry since 2013

Practice

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

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York