Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill Pedersen, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1619533866

Jill Pedersen, MA, CCC-SLP is a Speech-Language Pathologist in Lockport, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

6395 Old Niagara Rd
Lockport, NY 14094-1421
Phone: (626) 260-5450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 028729 (NY)

Record details

NPI number1619533866
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 14, 2019
Last updated in NPPESMay 14, 2019

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