National Provider Identifier
Jacqueline Yvonne Vignanello, M.A., CCC-SLP, NYS-L
Jacqueline Yvonne Vignanello, M.A., CCC-SLP, NYS-L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 352-2400.
Profile Overview
- NPI
- 1356187504
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- July 08, 2024
- Last Updated
- July 08, 2024
Practice Location
- 160 Wallace Way
- Rochester, NY 14624-6215
Phone: (585) 352-2400
Mailing Address
- 700 Bromley RD
- Churchville, NY 14428-9714
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1356187504
- Entity Type
- Individual
- Last Name
- Vignanello
- First Name
- Jacqueline
- Middle Name
- Yvonne
- Credential
- M.A., CCC-SLP, NYS-L
- Provider Other Last Name
- Vignanello
- Provider Other First Name
- Jacqueline
- Provider Other Middle Name
- Y
- Provider Other Credential Text
- M.A., CCC-SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 700 Bromley RD
- Mailing City
- Churchville
- Mailing State
- NY
- Mailing ZIP Code
- 14428-9714
- Mailing Country
- US
- Mailing Phone
- (905) 746-5091
- Practice Street Address
- 160 Wallace Way
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-6215
- Practice Country
- US
- Practice Phone
- (585) 352-2400
- Enumeration Date
- July 08, 2024
- Last Updated
- July 08, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)