National Provider Identifier

Gina Marie Colucci, M.S.CCC-SLP

Gina Marie Colucci, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Victor, NY and a listed phone number of (585) 733-4859.

NPI 1932345188Victor, NYSpeech-Language Pathologist

Profile Overview

NPI
1932345188
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 17, 2008
Last Updated
May 18, 2018

Practice Location

  • 7641 Pine Tree Dr
  • Victor, NY 14564

Phone: (585) 733-4859

Mailing Address

  • 7641 Pine Tree Dr
  • Victor, NY 14564-8984

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1932345188
Entity Type
Individual
Last Name
Colucci
First Name
Gina
Middle Name
Marie
Name Prefix
MS.
Credential
M.S.CCC-SLP
Mailing Street Address
7641 Pine Tree Dr
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-8984
Mailing Country
US
Mailing Phone
(585) 733-4859
Practice Street Address
7641 Pine Tree Dr
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564
Practice Country
US
Practice Phone
(585) 733-4859
Enumeration Date
December 17, 2008
Last Updated
May 18, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
03553220 (NY)