Stacie Lee Dimezza CCC-SLP

NPI 1417101791 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1417101791
Gender Female
Enumeration Date 11/12/2008
Last Updated 11/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
28 MONUMENT AVE
GLENS FALLS NY, 12801-2213, US
Phone (518) 743-9941
Fax
Business Location
28 MONUMENT AVE
GLENS FALLS NY, 12801-2213, US
Phone (518) 743-9941
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 010030-1
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According to our database, Stacie Lee Dimezza CCC-SLP NPI is 1417101791, taxonomy code is 235Z00000X and license number is 010030-1, license state is located at New York. Stacie Lee Dimezza CCC-SLP physically located at 28 Monument Ave, Glens Falls NY, 12801-2213. NPI Number Stacie Lee Dimezza CCC-SLP has the Individual type.

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1417101791 NPI number is provided on an as is basis without warranty of any kind. 1417101791 is maintained by the National Plan & Provider Enumeration System. The contents of Stacie Lee Dimezza CCC-SLP are for informational purposes only.