Mr Jackson Fayette Mccullough Jr, BS - Speech-Language Pathologist in New Castle, PA

Mr Jackson Fayette Mccullough Jr, BS is a Speech-language Pathologist based in New Castle, Pennsylvania. Mr Jackson Fayette Mccullough Jr is licensed to practice in Pennsylvania (license number SL001608L) and his current practice location is 1732 Atkinson St, New Castle, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (724) 730-3414.

NPI number for Mr Jackson Fayette Mccullough Jr is 1033314760 and his current mailing address is 1732 Atkinson St, New Castle, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033314760.

Contact Information

Mr Jackson Fayette Mccullough Jr, BS
1732 Atkinson St,
New Castle, PA 16101-1302
(724) 730-3414
Not Available



Healthcare Provider's Profile

Full NameMr Jackson Fayette Mccullough Jr
GenderMale
SpecialitySpeech-language Pathologist
Location1732 Atkinson St, New Castle, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033314760
  • Provider Enumeration Date: 06/21/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mr Jackson Fayette Mccullough Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033314760NPI-NPPES
19311180003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SL001608L (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jackson Fayette Mccullough Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jackson Fayette Mccullough Jr, BS
1732 Atkinson St,
New Castle, PA 16101-1302

Ph: (724) 730-3414
Mr Jackson Fayette Mccullough Jr, BS
1732 Atkinson St,
New Castle, PA 16101-1302

Ph: (724) 730-3414

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› Verified 9 days ago


Speech-Language Pathologist in New Castle, PA

Richelle Alyn Christofer, MA CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 307 E Fairfield Ave, New Castle, PA 16105
Phone: 724-971-3659    
Jerianne Zona, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2656 Wilmington Rd, New Castle, PA 16105
Phone: 724-752-1551    
Rachel Yacono,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3023 Wilmington Rd, New Castle, PA 16105
Phone: 724-656-8814    
Mrs. Jennifer Jo Bandi, MS CCC SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3023 Wilmington Rd, New Castle, PA 16105
Phone: 724-656-8814    Fax: 724-656-8815
Ms. Stephanie Andrea Blaski, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1211 Wilmington Ave, New Castle, PA 16105
Phone: 724-658-9001    Fax: 724-656-4175
Julianna Patrick,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1211 Wilmington Ave, New Castle, PA 16105
Phone: 724-658-2801    

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