Provider Demographics
NPI:1194533646
Name:CIACCI, CYDNEY (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CYDNEY
Middle Name:
Last Name:CIACCI
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 WOODWARD RD
Mailing Address - Street 2:
Mailing Address - City:ROSE VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19063-4231
Mailing Address - Country:US
Mailing Address - Phone:610-804-5522
Mailing Address - Fax:
Practice Address - Street 1:226 WOODWARD RD
Practice Address - Street 2:
Practice Address - City:ROSE VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19063-4231
Practice Address - Country:US
Practice Address - Phone:610-804-5522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013096235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist