Doctor Name: | MRS. JOANN GILL FICCA |
NPI Number: | 1891752820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED CCC SLP |
License Number: | 41YS00016600 |
Business Practice Address: | 21 Benford Drive Princeton Junction, NJ - 085501330 |
Business Phone Number: | 6097993059 |
Business Fax Number: | 6097997841 |
Mailing Address: | 21 Benford Drive, PRINCETON JUNCTION |
State: | NJ |
Postal Code: | 085501330 |
Phone Number: | 6097993059 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00016600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |