Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Gannon, CF

Individual provider Speech-Language Pathologist · NPI 1568134799

Jacqueline Gannon, CF is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

3767 Richmond Ave
Staten Island, NY 10312-3827
Phone: (718) 967-0359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (NY)

Record details

NPI number1568134799
Entity typeIndividual (Type 1)
GenderFemale
Credentials CF
Sole proprietorYes
NPI enumeratedOctober 5, 2021
Last updated in NPPESOctober 5, 2021
Certification dateSeptember 30, 2021

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