Provider Demographics
NPI:1114248929
Name:FIORITTO, JAMES (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:FIORITTO
Suffix:
Gender:M
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 1:33073 CROOKS ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48173-9321
Mailing Address - Country:US
Mailing Address - Phone:734-624-9953
Mailing Address - Fax:
Practice Address - Street 1:33073 CROOKS ST
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48173-9321
Practice Address - Country:US
Practice Address - Phone:734-624-9953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist