Provider Demographics
NPI:1902050024
Name:BINGEL, NOLI ANN (MA, CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:NOLI
Middle Name:ANN
Last Name:BINGEL
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 CUMBERLAND HEAD RD
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-7008
Mailing Address - Country:US
Mailing Address - Phone:518-562-1142
Mailing Address - Fax:
Practice Address - Street 1:1187 CUMBERLAND HEAD RD.
Practice Address - Street 2:CUMBERLAND HEAD HEAD START
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-7008
Practice Address - Country:US
Practice Address - Phone:518-569-6138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015070-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist