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NPI Code Detail

MEDICARE: JESSICA L GOESSLING SLP-CFY

MEDICARE: JESSICA L GOESSLING SLP-CFY
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 PathologistCFYNY

General Provider Information

NPI Number : 1205116902
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA L GOESSLING SLP-CFY
Provider Business Mailing Address
First Line : 48 SETON CT
Second Line :
City : PENFIELD
State : NY
Zip : 14526-9792
Country : US
Telephone Number : 585-746-4479
Fax Number :
Provider Business Practice Location Address
First Line : 766 RIDGE RD
Second Line :
City : WEBSTER
State : NY
Zip : 14580-2449
Country : US
Telephone Number : 585-797-9366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2011
Last Update Date : 08/25/2011

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Directions to “ JESSICA L GOESSLING SLP-CFY” Practice Location

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