Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jayne Marie Hettenbaugh, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1912152463

Jayne Marie Hettenbaugh, MACCC-SLP is a Speech-Language Pathologist in Randolph, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

126 Larkin Street Ext
Randolph, NY 14772-9651
Phone: (716) 358-9236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 007795-1 (NY)

Record details

NPI number1912152463
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedNovember 25, 2008
Last updated in NPPESNovember 25, 2008

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