National Provider Identifier

Lisa A Cicciarelli, MS-CCC-SLP

Lisa A Cicciarelli, MS-CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Lockport, NY and a listed phone number of (716) 478-4665.

NPI 1164662102Lockport, NYSpeech-Language Pathologist

Profile Overview

NPI
1164662102
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
March 04, 2009
Last Updated
March 04, 2009

Practice Location

  • 7109 Old English RD
  • Lockport, NY 14094-5408

Phone: (716) 478-4665

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1164662102
Entity Type
Individual
Last Name
Cicciarelli
First Name
Lisa
Middle Name
A
Name Prefix
Mrs.
Credential
MS-CCC-SLP
Mailing Street Address
7109 Old English RD
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-5408
Mailing Country
US
Mailing Phone
(716) 478-4665
Practice Street Address
7109 Old English RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5408
Practice Country
US
Practice Phone
(716) 478-4665
Enumeration Date
March 04, 2009
Last Updated
March 04, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)