| Doctor Name: | ELIZABETH MARIE DICOLA |
| NPI Number: | 1295102325 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SLPA9568 |
| Business Practice Address: | 29714 W Peakview Rd Wittmann, AZ - 853619561 |
| Business Phone Number: | 6235521176 |
| Business Fax Number: | |
| Mailing Address: | 29714 W Peakview Rd, WITTMANN |
| State: | AZ |
| Postal Code: | 853619561 |
| Phone Number: | 6235521176 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2015 |
| NPI Last Update Date: | 08/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | SLPA9568 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |