Provider Demographics
NPI:1346851011
Name:FERRARO, MARCELLA MARIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARCELLA
Middle Name:MARIE
Last Name:FERRARO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BANKS AVE APT 1237
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-6207
Mailing Address - Country:US
Mailing Address - Phone:845-706-2615
Mailing Address - Fax:
Practice Address - Street 1:14502 FARMERS BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-5024
Practice Address - Country:US
Practice Address - Phone:718-527-5220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029923235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist