Provider Demographics
NPI:1568766269
Name:ANGIONE, PAMELA D (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:D
Last Name:ANGIONE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 BRYANT AVE
Mailing Address - Street 2:APT. 4DB
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1952
Mailing Address - Country:US
Mailing Address - Phone:914-629-4243
Mailing Address - Fax:
Practice Address - Street 1:90 BRYANT AVE
Practice Address - Street 2:APT. 4DB
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1952
Practice Address - Country:US
Practice Address - Phone:914-629-4243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016279-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist