JENNIFER KAY DIVINE SLP
NPI 1821731183
Student in an Organized Health Care Education/Training Program in Orchard Park, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 15, 2022

6167 W QUAKER ST, ORCHARD PARK, NY 14127(716) 662-4800(716) 662-4700 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Kay Divine Slp NPPES

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

JENNIFER KAY DIVINE SLP (NPI 1821731183) is an individual student in an organized health care education/training program in Orchard Park, New York and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1821731183

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJENNIFER KAY DIVINECredential: SLP

Location Address6167 W QUAKER STOrchard Park, NY 14127-2640

Mailing Address5563 Meadow DrHamburg, NY 14075-6935 · (716) 803-0625 · Fax (716) 662-5700

Phone(716) 662-4800

Fax(716) 662-4700

Sole ProprietorNo

Enumeration DateApril 15, 2022

NPPES CertifiedApril 15, 2022

✔ NPI 1821731183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

6167 W QUAKER ST, Orchard Park, NY 14127

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