Individual
MS. CATHY ELLEN SALCICCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
85 EASTERN AVENUE, SUITE 212, GLOUCESTER, MA 01930
(978) 282-8210
(978) 282-1144
Mailing address
PO BOX 1633, GLOUCESTER, MA 01931-1633
(978) 282-9978
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0037171
NY
235Z00000X
Speech-Language Pathologist
0699
NH
235Z00000X
Speech-Language Pathologist
Primary
3350
MA
235Z00000X
Speech-Language Pathologist
SA2456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360171
—
MA
01
—
767827
TUFTS HEALTH PLAN
MA
01
—
SP0067
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/18/2006
Last updated
07/09/2007
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