Provider Demographics
NPI:1982973889
Name:PUGNALI, JAYNE ANN LOUISE (MA, CCC,SLP)
Entity Type:Individual
Prefix:MS
First Name:JAYNE
Middle Name:ANN LOUISE
Last Name:PUGNALI
Suffix:
Gender:F
Credentials:MA, CCC,SLP
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Other - First Name:
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Mailing Address - Street 1:11 MAPLEVIEW ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-6247
Mailing Address - Country:US
Mailing Address - Phone:845-486-4968
Mailing Address - Fax:845-486-7792
Practice Address - Street 1:11 MAPLEVIEW ROAD EXT
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-6247
Practice Address - Country:US
Practice Address - Phone:845-486-4968
Practice Address - Fax:845-486-7792
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY004529-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist