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Individual

TRICIA ANN HALL CHACCHIA

Active
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Individual

TRICIA ANN HALL CHACCHIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
016447
NY
235Z00000X
Speech-Language Pathologist
Primary
30002540
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016447
NY STATE LICENSE
NY
01
30002540
NC STATE LICENSE
NC
Enumeration date
11/10/2008
Last updated
08/14/2024
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