Provider Demographics
NPI:1336312438
Name:ABBOTT-PIETRIPAOLI, AMY MAE (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:MAE
Last Name:ABBOTT-PIETRIPAOLI
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8451 SHADE AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2878
Mailing Address - Country:US
Mailing Address - Phone:941-355-2767
Mailing Address - Fax:941-355-0617
Practice Address - Street 1:8451 SHADE AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2878
Practice Address - Country:US
Practice Address - Phone:941-355-2767
Practice Address - Fax:941-355-0617
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
FLAY884237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist