National Provider Identifier
Abby Rochelle Bannister, MA CCC-SLP
Abby Rochelle Bannister, MA CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Corning, NY and a listed phone number of (607) 654-2433.
Profile Overview
- NPI
- 1093063471
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 16, 2012
- Last Updated
- August 16, 2012
Practice Location
- 205 E 1St St
- Corning, NY 14830-2809
Phone: (607) 654-2433
Mailing Address
- 2860 Irelandville RD
- Watkins Glen, NY 14891-9749
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1093063471
- Entity Type
- Individual
- Last Name
- Bannister
- First Name
- Abby
- Middle Name
- Rochelle
- Name Prefix
- Mrs.
- Credential
- MA CCC-SLP
- Mailing Street Address
- 2860 Irelandville RD
- Mailing City
- Watkins Glen
- Mailing State
- NY
- Mailing ZIP Code
- 14891-9749
- Mailing Country
- US
- Mailing Phone
- (573) 259-4747
- Practice Street Address
- 205 E 1St St
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2809
- Practice Country
- US
- Practice Phone
- (607) 654-2433
- Enumeration Date
- August 16, 2012
- Last Updated
- August 16, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)