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

Jessica Renee Ellis, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1629738802

Jessica Renee Ellis, MS, CCC-SLP is a Speech-Language Pathologist in Vestal, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2
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 →

Practice location Address checks out

294 Knight Rd
Vestal, NY 13850-5240
Phone: (607) 240-8776
Show map & directions

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

Additional practice locations (1)

  • 236 Burts Rd, Kirkwood, NY 13795-1731 — (877) 426-3307

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 033724-01 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1629738802
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 29, 2021
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

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