Provider Demographics
NPI:1609020619
Name:GREHER, JESSICA N (MS/CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:N
Last Name:GREHER
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:A
Other - Last Name:NADARZYNSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS/CCC-SLP
Mailing Address - Street 1:4 MANCINI CT
Mailing Address - Street 2:
Mailing Address - City:CORNWALL
Mailing Address - State:NY
Mailing Address - Zip Code:12518-1044
Mailing Address - Country:US
Mailing Address - Phone:845-926-8232
Mailing Address - Fax:
Practice Address - Street 1:4 MANCINI CT
Practice Address - Street 2:
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518-1044
Practice Address - Country:US
Practice Address - Phone:845-926-8232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012139-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist