| Mr Jackson Fayette Mccullough Jr, BS | |
|
1732 Atkinson St, New Castle, PA 16101-1302 | |
| (724) 730-3414 | |
| Not Available |
| Full Name | Mr Jackson Fayette Mccullough Jr |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1732 Atkinson St, New Castle, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033314760 | NPI | - | NPPES |
| 19311180003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SL001608L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jackson Fayette Mccullough Jr, BS 1732 Atkinson St, New Castle, PA 16101-1302 Ph: (724) 730-3414 | Mr Jackson Fayette Mccullough Jr, BS 1732 Atkinson St, New Castle, PA 16101-1302 Ph: (724) 730-3414 |
Richelle Alyn Christofer, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 307 E Fairfield Ave, New Castle, PA 16105 Phone: 724-971-3659 | |
Jerianne Zona, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2656 Wilmington Rd, New Castle, PA 16105 Phone: 724-752-1551 | |
Rachel Yacono, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3023 Wilmington Rd, New Castle, PA 16105 Phone: 724-656-8814 | |
Mrs. Jennifer Jo Bandi, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3023 Wilmington Rd, New Castle, PA 16105 Phone: 724-656-8814 Fax: 724-656-8815 | |
Ms. Stephanie Andrea Blaski, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 Wilmington Ave, New Castle, PA 16105 Phone: 724-658-9001 Fax: 724-656-4175 | |
Julianna Patrick, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 Wilmington Ave, New Castle, PA 16105 Phone: 724-658-2801 |