Provider Demographics
NPI:1407209612
Name:RICCI, EMILY GRIFFIN (MS CCC-SLP TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:GRIFFIN
Last Name:RICCI
Suffix:
Gender:F
Credentials:MS CCC-SLP TSSLD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:LYNNE
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:68 RENNERT LN
Mailing Address - Street 2:
Mailing Address - City:BARDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:10954-1525
Mailing Address - Country:US
Mailing Address - Phone:914-552-8554
Mailing Address - Fax:
Practice Address - Street 1:68 RENNERT LN
Practice Address - Street 2:
Practice Address - City:BARDONIA
Practice Address - State:NY
Practice Address - Zip Code:10954-1525
Practice Address - Country:US
Practice Address - Phone:914-552-8554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-22
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist