Provider Demographics
NPI:1558324806
Name:CIRILLI, PATTI J (MS CCC)
Entity Type:Individual
Prefix:MS
First Name:PATTI
Middle Name:J
Last Name:CIRILLI
Suffix:
Gender:F
Credentials:MS CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8989 N PORT WASHINGTON RD
Mailing Address - Street 2:STE 220
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-4437
Mailing Address - Country:US
Mailing Address - Phone:414-352-3336
Mailing Address - Fax:414-352-3928
Practice Address - Street 1:8989 N PORT WASHINGTON RD
Practice Address - Street 2:STE 220
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217-4437
Practice Address - Country:US
Practice Address - Phone:414-352-3336
Practice Address - Fax:414-352-3928
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI798154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist