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NPI Code Detail

MEDICARE: MRS. JENNIFER ELIZABETH ROUSE M.S., CCC-SLP

MEDICARE: MRS. JENNIFER ELIZABETH ROUSE M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist020256-1NY

General Provider Information

NPI Number : 1750663514
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER ELIZABETH ROUSE M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2034 LEHIGH STATION RD
Second Line :
City : HENRIETTA
State : NY
Zip : 14467-9616
Country : US
Telephone Number : 585-395-5000
Fax Number : 585-359-5045
Provider Business Practice Location Address
First Line : 2034 LEHIGH STATION RD
Second Line :
City : HENRIETTA
State : NY
Zip : 14467-9616
Country : US
Telephone Number : 585-395-5000
Fax Number : 585-359-5045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2011
Last Update Date : 09/16/2011

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Directions to “ MRS. JENNIFER ELIZABETH ROUSE M.S., CCC-SLP” Practice Location

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