Provider Demographics
NPI:1295034221
Name:SAVIOLA, CYNTHIA R (LSP)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:R
Last Name:SAVIOLA
Suffix:
Gender:F
Credentials:LSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 HARLEM RD.
Mailing Address - Street 2:BOARD OF COOPERATIVE EDUCATIONAL SERVICES
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224
Mailing Address - Country:US
Mailing Address - Phone:716-821-7023
Mailing Address - Fax:
Practice Address - Street 1:355 HARLEM RD.
Practice Address - Street 2:BOARD OF COOPERATIVE EDUCATIONAL SERVICES
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224
Practice Address - Country:US
Practice Address - Phone:716-821-7023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004943-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY004943-1OtherEDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS