Provider Demographics
NPI:1164731592
Name:DANEK, JACQUELYN HELEN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JACQUELYN
Middle Name:HELEN
Last Name:DANEK
Suffix:
Gender:F
Credentials:MS CCC-SLP
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Mailing Address - Street 1:43 NEW SCOTLAND AVENUE
Mailing Address - Street 2:ALBANY MEDICAL CENTER HOSPITAL MC-128
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208
Mailing Address - Country:US
Mailing Address - Phone:518-262-4526
Mailing Address - Fax:518-262-6896
Practice Address - Street 1:43 NEW SCOTLAND AVENUE
Practice Address - Street 2:ALBANY MEDICAL CENTER HOSPITAL MC-128
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-262-4526
Practice Address - Fax:518-262-6896
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2016-01-15
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Provider Licenses
StateLicense IDTaxonomies
NY020160-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist