Provider Demographics
NPI:1154143998
Name:MOCCIOLA, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MOCCIOLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 TOMPKINS ST
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-1458
Mailing Address - Country:US
Mailing Address - Phone:203-598-0600
Mailing Address - Fax:
Practice Address - Street 1:1625 STRAITS TURNPIKE
Practice Address - Street 2:SUITE 303
Practice Address - City:MIDDLEBURYCT
Practice Address - State:CT
Practice Address - Zip Code:06762-1805
Practice Address - Country:US
Practice Address - Phone:203-598-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist