Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jacalyn Nobis Bates, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1629531967

MS. Jacalyn Nobis Bates, MS, CCC-SLP is a Speech-Language Pathologist in Mexico, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

16 Fravor Rd
Mexico, NY 13114-3011
Phone: (315) 963-8400
Fax: (315) 963-3848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 013181 (NY)

Record details

NPI number1629531967
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedApril 12, 2019
Last updated in NPPESApril 12, 2019

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