MISS JENNA LEE GILLEN M.S. CCC-SLP NPI 1891346599

NPI Information

NPI: 1891346599
Provider Name: MISS JENNA LEE GILLEN, M.S., CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address: 400 LAKE ST
ITHACA, NY
ZIP 14850
Phone: (607) 274-2101

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NPI Details

MISS Jenna Lee Gillen, M.S., CCC-SLP is a speech language pathologist in Ithaca, NY. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MISS Jenna Lee Gillen, M.S., CCC-SLP NPI is 1891346599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 LAKE ST
ITHACA, NY
ZIP 14850-132
Phone: (607) 274-2101

The enumeration date for this NPI number is 9/24/2019 and was last updated on 9/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	235Z00000X	Speech-Language Pathologist		029146	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14105406	OTHER		AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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