Provider Demographics
NPI:1124230933
Name:NOVELLI, PATSY G (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:PATSY
Middle Name:G
Last Name:NOVELLI
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 E TENNESSEE ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5623
Mailing Address - Country:US
Mailing Address - Phone:256-764-4327
Mailing Address - Fax:256-764-4327
Practice Address - Street 1:128 E TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5623
Practice Address - Country:US
Practice Address - Phone:256-764-4327
Practice Address - Fax:256-764-4327
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL94237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter