Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA RENEE ELLIS, MS, CCC-SLP
Active Sole ProprietorJESSICA RENEE ELLIS, MS, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in VESTAL, New York. NPI 1629738802 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · VESTAL, NY
Registration Details
- NPI Number
- 1629738802
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2021 (4.6285516776442 yrs)
- Last Updated
- Jan 12, 2026
- License
-
033724-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
294 KNIGHT ROADVESTAL, NY, 138505240Browse NY providers · Browse ZIP 13850
- Phone
- 6072408776
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in VESTAL, NY
| Name | Credential | NPI |
|---|---|---|
| MS. DAWN MARIE LANG | M.S., CCC-SLP | 1417145590 |
| EMILY S ROSE | MS, CCC-SLP | 1932352226 |
| LISA MARCHUSKA | CCC-SLP | 1518111483 |
| KRISTAN TOMAKA | — | 1891932240 |
| EILEEN ELIZABETH SPENCER | — | 1770720120 |
| MRS. CONSTANCE GREY ALEXANDER | M.A., SLP | 1437396181 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.