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JESSICA ALICE CHARBONEAU M.S,TSSLD, CCC-SLP
NPI 1487995379
Speech-Language Pathologist in Fayetteville, NY

Active since March 03, 2013
121 BROOKSIDE LN, FAYETTEVILLE, NY 13066(315) 637-4177 Get Directions Write a Review

NPPES record last updated: March 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Alice Charboneau M.s,tssld, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ALICE CHARBONEAU M.S,TSSLD, CCC-SLP (NPI 1487995379) is an individual speech-language pathologist provider in Fayetteville, New York, licensed in New York (022581-1) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1487995379
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA ALICE CHARBONEAUCredential: M.S,TSSLD, CCC-SLP
Location Address121 BROOKSIDE LNFayetteville, NY 13066-1509
Mailing Address121 Brookside LnFayetteville, NY 13066-1509 · (315) 637-4177
Phone(315) 637-4177
Sole ProprietorNo
Enumeration DateMarch 3, 2013
✔ NPI 1487995379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 022581-1
Definition
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.
121 BROOKSIDE LN, Fayetteville, NY 13066
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Charboneau's NPI number?

The NPI number for Jessica Charboneau is 1487995379. It was assigned to this individual provider in the NPPES registry on March 3, 2013.

Where is Jessica Charboneau located?

Jessica Charboneau practices at 121 Brookside Ln, Fayetteville, NY 13066. The listed phone number is (315) 637-4177.

What is Jessica Charboneau's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jessica Charboneau was last updated on March 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.