Active NPIIndividual provider

Mrs. Andrea Pannucci-Marvin, MS, CCC-SLP

Speech-Language Pathologist, in New Providence, New Jersey

NPI Number1265675276
Practice location
10 Thomas St, New Providence, NJ 07974-2246
Fax
908-464-2325
Last updated
November 30, 2015

Andrea Pannucci-Marvin is a Speech-Language Pathologist, based in New Providence, NJ. Andrea Pannucci-Marvin practices in New Providence, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Andrea Pannucci-Marvin is 1265675276 and holds a License No. 008369-1 (NY). The current practice location address for Andrea Pannucci-Marvin is 10 Thomas St, New Providence, NJ 07974-2246 and can be reached out via phone at 908-464-8225 and via fax at 908-464-2325.

Provider Profile Details

NPI Number
1265675276
Provider Name
Andrea Pannucci-Marvin
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
10 Thomas St, New Providence, NJ 07974-2246
Phone Number
908-464-8225
Fax Number
908-464-2325
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 7, 2009
Last Update Date
November 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Thomas St
New Providence, NJ 07974-2246
Zip
07974-2246
Phone Number
908-464-8225
Fax Number
908-464-2325
New Providence, NJ 07974Get directions →

Provider Business Mailing Address Details

Address
10 Thomas St
New Providence, NJ 07974-2246
City
New Providence
State
NJ
Zip
07974-2246
Phone Number
908-464-8225
Fax Number
908-464-2325

License Information

License Number (1)
008369-1
License State (1)
NY
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
41YS00267400
License State (2)
NJ
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Andrea Pannucci-Marvin, MS, CCC-SLP?

The NPI number of Mrs. Andrea Pannucci-Marvin, MS, CCC-SLP is 1265675276. It was assigned on April 7, 2009 and is currently active in the NPPES registry.

What is the specialty of Mrs. Andrea Pannucci-Marvin, MS, CCC-SLP?

Mrs. Andrea Pannucci-Marvin, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 008369-1.

Where does Mrs. Andrea Pannucci-Marvin, MS, CCC-SLP practice?

The practice location is 10 Thomas St, New Providence, NJ 07974-2246. The office can be reached at 908-464-8225 (phone) or 908-464-2325 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265675276 directly on the NPPES registry website.

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