Provider Demographics
NPI:1699019380
Name:SAKOWITZ, JENNIFER LEIGH WINIKOFF (MS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEIGH WINIKOFF
Last Name:SAKOWITZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LEIGH
Other - Last Name:WINIKOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 WARREN ST.
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135
Mailing Address - Country:US
Mailing Address - Phone:617-254-3800
Mailing Address - Fax:
Practice Address - Street 1:203 E PUTNAM AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:COS COB
Practice Address - State:CT
Practice Address - Zip Code:06807-2734
Practice Address - Country:US
Practice Address - Phone:203-433-8050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004563235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist