Provider Demographics
NPI:1225158264
Name:REPPUCCI, CYNTHIA L
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:L
Last Name:REPPUCCI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:L
Other - Last Name:BARBATI-REPPUCCI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS CCC
Mailing Address - Street 1:14 HESSELTINE AVE
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-1904
Mailing Address - Country:US
Mailing Address - Phone:781-662-1382
Mailing Address - Fax:
Practice Address - Street 1:14 HESSELTINE AVE
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-1904
Practice Address - Country:US
Practice Address - Phone:781-662-1382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
924235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist