Provider Demographics
NPI:1417761172
Name:ALLOCCO, ANABELLA (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANABELLA
Middle Name:
Last Name:ALLOCCO
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 1:9201 COLLINS AVE APT 1022
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE
Mailing Address - State:FL
Mailing Address - Zip Code:33154-3055
Mailing Address - Country:US
Mailing Address - Phone:786-457-7794
Mailing Address - Fax:
Practice Address - Street 1:9201 COLLINS AVE APT 1022
Practice Address - Street 2:
Practice Address - City:SURFSIDE
Practice Address - State:FL
Practice Address - Zip Code:33154-3055
Practice Address - Country:US
Practice Address - Phone:786-457-7794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA23100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist