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

Jessica Alice Charboneau, MS, TSSLD, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1487995379

Jessica Alice Charboneau, MS, TSSLD, CCC-SLP is a Speech-Language Pathologist in Fayetteville, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

121 Brookside Ln
Fayetteville, NY 13066-1509
Phone: (315) 637-4177
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 022581-1 (NY)

Record details

NPI number1487995379
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , TSSLD , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 3, 2013
Last updated in NPPESMarch 3, 2013

Other providers in Fayetteville