Angela Marie Petricca in Elk Grove Vlg - Speech-language Pathologist
Angela Marie Petricca - NPI 1649448770
Angela Marie Petricca is a Speech-language Pathologist in Elk Grove Vlg, Illinois. Angela Marie Petricca practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Angela Marie Petricca is 1649448770. The last update date is 2012-09-11.
Angela Marie Petricca's current location address is 555 Jersey Ln, Elk Grove Vlg, Illinois. You can contact this provider via phone number 8472934787. The mailing address for Angela Marie Petricca is 555 Jersey Ln, Elk Grove Vlg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Marie Petricca |
|---|---|
| Address | 555 Jersey Ln, Elk Grove Vlg, Illinois |
| Phone Number | 8472934787 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S. CCC-S |
NPI Number Detail
| NPI Number | 1649448770 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2012-09-11 |
Provider Mailing Address Detail
| Address | 555 Jersey Ln |
|---|---|
| City | Elk Grove Vlg |
| State | Illinois (IL) |
| Post Code | 600072765 |
| Phone Number | 8472934787 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 146.01121 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the Angela Marie Petricca's unique identification number?
The Angela Marie Petricca has been assigned the NPI (National Provider Identifier) Number 1649448770 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Angela Marie Petricca's facilities are situated?
The facilities of Angela Marie Petricca are physically located at the following address: 555 Jersey Ln, Elk Grove Vlg, IL, 600072765.
What is the Angela Marie Petricca's area of specialization and corresponding taxonomy classification?
The Angela Marie Petricca's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
On what date did the Angela Marie Petricca receive the assignment of its 1649448770 from the Centers for Medicare & Medicaid Services?
The Angela Marie Petricca was issued its 1649448770 by the Centers for Medicare & Medicaid Services on 2008-02-11.
When was the information pertaining to Angela Marie Petricca most recently updated or revised?
The details related to Angela Marie Petricca, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-11.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY