Doctor Name: | MS. CARIANNE IANNUCCILLI |
NPI Number: | 1073957692 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 022748-1 |
Business Practice Address: | 10 New King St Suite 105 White Plains, NY - 106041205 |
Business Phone Number: | 9143909880 |
Business Fax Number: | |
Mailing Address: | 27 Sachem Ln, GREENWICH |
State: | CT |
Postal Code: | 068307229 |
Phone Number: | 2035618776 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2013 |
NPI Last Update Date: | 04/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 022748-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |