Provider Demographics
NPI:1558701391
Name:PAGEL-NOON, CHRISTINA C (MS-CFY, SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:C
Last Name:PAGEL-NOON
Suffix:
Gender:F
Credentials:MS-CFY, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8842 STATE ROUTE 90 N
Mailing Address - Street 2:LIFESPAN THERAPIES
Mailing Address - City:KING FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:13081-8717
Mailing Address - Country:US
Mailing Address - Phone:315-364-7570
Mailing Address - Fax:
Practice Address - Street 1:8842 STATE ROUTE 90 N
Practice Address - Street 2:LIFESPAN THERAPIES
Practice Address - City:KING FERRY
Practice Address - State:NY
Practice Address - Zip Code:13081-8717
Practice Address - Country:US
Practice Address - Phone:315-364-7570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTSLP-SP-TMP-3127235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist