Provider Demographics
NPI:1588097539
Name:CIFELLI, ANNA (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:
Last Name:CIFELLI
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 1:4411 TREVI CT
Mailing Address - Street 2:APT. 203
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-4212
Mailing Address - Country:US
Mailing Address - Phone:862-215-6173
Mailing Address - Fax:
Practice Address - Street 1:4411 TREVI CT
Practice Address - Street 2:APT. 203
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-4212
Practice Address - Country:US
Practice Address - Phone:862-215-6173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 12254235Z00000X
NJ41YS00706700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist