Individual
CHRISTINE FRANCES CICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
401 E FRONT ST STE 123, TYLER, TX 75702-8250
(903) 531-2581
Mailing address
401 E FRONT ST STE 123, TYLER, TX 75702-8250
(903) 531-2581
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12204
NC
235Z00000X
Speech-Language Pathologist
4819
WI
235Z00000X
Speech-Language Pathologist
903852
MI
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4317679
—
TX
Enumeration date
11/29/2016
Last updated
01/24/2023
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