Provider Demographics
NPI:1326552555
Name:LARACCA, FRANCESCA LUCIA (MS)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:LUCIA
Last Name:LARACCA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 MOUNTHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-2740
Mailing Address - Country:US
Mailing Address - Phone:973-992-9351
Mailing Address - Fax:
Practice Address - Street 1:85 MOUNTHAVEN DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-2740
Practice Address - Country:US
Practice Address - Phone:973-809-9690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-27
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTL-2941235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty