Provider Demographics
NPI:1225374259
Name:HIIPAKKA, CIERA (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:CIERA
Middle Name:
Last Name:HIIPAKKA
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 SW 46TH CT
Mailing Address - Street 2:APT 1729
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-6264
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4900 SW 46TH CT
Practice Address - Street 2:APT 1729
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-6264
Practice Address - Country:US
Practice Address - Phone:715-773-0785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA11845235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist