Provider Demographics
NPI:1437551991
Name:NOTTE, NOELLA
Entity Type:Individual
Prefix:MS
First Name:NOELLA
Middle Name:
Last Name:NOTTE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NOELLA
Other - Middle Name:
Other - Last Name:CHERCHIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:5 LAWRENCE ST
Mailing Address - Street 2:UNTI 708
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-4631
Mailing Address - Country:US
Mailing Address - Phone:973-202-0828
Mailing Address - Fax:
Practice Address - Street 1:5 LAWRENCE ST
Practice Address - Street 2:UNTI 708
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-4631
Practice Address - Country:US
Practice Address - Phone:973-202-0828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00043800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist