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

MS. Jenna Marie Tellerico Niles, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1700362217

MS. Jenna Marie Tellerico Niles, MSCCC-SLP is a Speech-Language Pathologist in Avon, Connecticut. Licensed in Connecticut. Registered with an NPI since 2018.

Licensed in
CT
In the registry since
2018

Practice location Address checks out

30 Avon Meadow Ln
Avon, CT 06001-3745
Phone: (860) 284-9779
Fax: (860) 409-2190
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 5633 (CT)

Record details

NPI number1700362217
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJuly 17, 2018
Last updated in NPPESSeptember 11, 2018

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