Provider Demographics
NPI:1992437560
Name:NOCERINI, MARIA BETH (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:BETH
Last Name:NOCERINI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:STANKEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 N HOOPER ST
Mailing Address - Street 2:
Mailing Address - City:KINGSFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49802-5406
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 N HOOPER ST
Practice Address - Street 2:
Practice Address - City:KINGSFORD
Practice Address - State:MI
Practice Address - Zip Code:49802-5406
Practice Address - Country:US
Practice Address - Phone:906-776-9003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7152000377235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist