| 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  |