Nicole Alyssa Pellicciotto in Fairfax - Developmental Therapist
Nicole Alyssa Pellicciotto - NPI 1720200728
Nicole Alyssa Pellicciotto is a Developmental Therapist in Fairfax, Virginia. Nicole Alyssa Pellicciotto practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Nicole Alyssa Pellicciotto is 1720200728. The last update date is 2007-07-08.
Nicole Alyssa Pellicciotto's current location address is 11642 Leehigh Drive, Fairfax, Virginia. You can contact this provider via phone number 7038194697. The mailing address for Nicole Alyssa Pellicciotto is 11642 Leehigh Drive, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Alyssa Pellicciotto |
|---|---|
| Address | 11642 Leehigh Drive, Fairfax, Virginia |
| Phone Number | 7038194697 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MED, ABD |
NPI Number Detail
| NPI Number | 1720200728 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11642 Leehigh Drive |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220305640 |
| Phone Number | 7038194697 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 222Q00000X | VA | DEVELOPMENTAL |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nicole Alyssa Pellicciotto by the Centers for Medicare & Medicaid Services?
The Nicole Alyssa Pellicciotto has been assigned the NPI (National Provider Identifier) 1720200728 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Nicole Alyssa Pellicciotto is geographically located?
The Nicole Alyssa Pellicciotto is physically situated at the following location: 11642 Leehigh Drive, Fairfax, VA, 220305640.
What is Nicole Alyssa Pellicciotto's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nicole Alyssa Pellicciotto is Developmental Therapist, and the taxonomy code that classifies this field of practice is 222Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720200728 to Nicole Alyssa Pellicciotto?
The Nicole Alyssa Pellicciotto received its 1720200728 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date were the details related to Nicole Alyssa Pellicciotto most recently updated or revised?
The information pertaining to Nicole Alyssa Pellicciotto, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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