Individual provider · Type 1 NPI

Jennifer Kay Divine, SLP

Student in an Organized Health Care Education/Training Program · Orchard Park, NY

NPI number 1821731183 Active

Practice location

6167 W Quaker St
Orchard Park, NY 14127-2640

Call (716) 662-4800 Map

Fax (716) 662-4700

Mailing address

5563 Meadow Dr
Hamburg, NY 14075-6935

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821731183

Jennifer Kay Divine, SLP's National Provider Identifier is 1821731183, issued on Apr 15, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orchard Park, NY. The record was last updated on Apr 15, 2022.