Miss Jordan M Mangold, MS CCC/SLP is a
Speech-language Pathologist based in Chatham, New York. Miss Jordan M Mangold is licensed to practice in New York (license number 022494-1) and her current practice location is
50 Woodbridge Ave, Chatham, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 392-2400.
NPI number for Miss Jordan M Mangold is 1376826347 and her current mailing address is 12 Middlesex Rd, East Greenbush, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376826347.
Healthcare Provider's Profile
| Full Name | Miss Jordan M Mangold |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 50 Woodbridge Ave, Chatham, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376826347
- Provider Enumeration Date: 09/26/2011
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Miss Jordan M Mangold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376826347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 022494-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jordan M Mangold is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Jordan M Mangold, MS CCC/SLP
12 Middlesex Rd,
East Greenbush, NY 12061-2517
Ph: (518) 929-8385 | Miss Jordan M Mangold, MS CCC/SLP
50 Woodbridge Ave,
Chatham, NY 12037-1317
Ph: (518) 392-2400 |
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