| Jacqueline Noel Banks, CCC-SLP | |
|
1032 Main St, Fishkill, NY 12524-3503 | |
| (845) 897-3330 | |
| (845) 897-3753 |
| Full Name | Jacqueline Noel Banks |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1032 Main St, Fishkill, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528622552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Theralympic Speech Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730665043 PECOS PAC ID: 8325378102 Enrollment ID: O20190920000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Noel Banks, CCC-SLP 1032 Main St, Fishkill, NY 12524-3503 Ph: (845) 897-3330 | Jacqueline Noel Banks, CCC-SLP 1032 Main St, Fishkill, NY 12524-3503 Ph: (845) 897-3330 |
Gabriella Nicole Gizzo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1032 Main St, Fishkill, NY 12524 Phone: 845-897-3330 Fax: 845-897-3753 | |
Caroline Gaddy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1032 Main St, Fishkill, NY 12524 Phone: 845-897-3330 Fax: 845-897-3753 | |
Cynthia Gray, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1032 Main St, Fishkill, NY 12524 Phone: 845-897-3330 Fax: 845-897-3753 | |
Alexis Carp, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1032 Main St, Fishkill, NY 12524 Phone: 184-589-7333 | |
Mr. Michael D Pellicci, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1032 Main St, Fishkill, NY 12524 Phone: 845-897-3330 | |
Taylor Marie Spafford, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1032 Main St, Fishkill, NY 12524 Phone: 845-897-3330 Fax: 845-897-3753 | |
Jordan T Babbitt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1032 Main St, Fishkill, NY 12524 Phone: 845-897-3330 Fax: 845-897-3753 |