Provider Demographics
NPI:1518103589
Name:LOCATELLI, BERIT ANN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BERIT
Middle Name:ANN
Last Name:LOCATELLI
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 1:1920 JORDAN CT
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-3977
Mailing Address - Country:US
Mailing Address - Phone:707-834-5094
Mailing Address - Fax:
Practice Address - Street 1:1920 JORDAN CT
Practice Address - Street 2:
Practice Address - City:MCKINLEYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95519-3977
Practice Address - Country:US
Practice Address - Phone:707-834-5094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 8225235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist