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NPI Code Detail

MEDICARE: MS. JENNIFER ELIZABETH DONOVAN M.A., CCC-SLP

MEDICARE: MS. JENNIFER ELIZABETH DONOVAN M.A., 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 Pathologist008361-1NY

General Provider Information

NPI Number : 1669780680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER ELIZABETH DONOVAN M.A., CCC-SLP
Provider Business Mailing Address
First Line : 225 WEST AVE
Second Line :
City : HILTON
State : NY
Zip : 14468-1253
Country : US
Telephone Number : 585-392-1000
Fax Number : 585-392-1065
Provider Business Practice Location Address
First Line : 225 WEST AVE
Second Line :
City : HILTON
State : NY
Zip : 14468-1253
Country : US
Telephone Number : 585-392-1000
Fax Number : 585-392-1065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2010
Last Update Date : 03/03/2025

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Directions to “ MS. JENNIFER ELIZABETH DONOVAN M.A., CCC-SLP” Practice Location

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