Provider Demographics
NPI:1629718150
Name:STRAZZULLA, CYNTHIA CHRISTINE (MS-CCC, SLP)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:CHRISTINE
Last Name:STRAZZULLA
Suffix:
Gender:F
Credentials:MS-CCC, SLP
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:CHRISTINE
Other - Last Name:STRAZZULLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS-CCC, SLP
Mailing Address - Street 1:7892 N LAKE BUFFUM SHORE RD
Mailing Address - Street 2:
Mailing Address - City:FORT MEADE
Mailing Address - State:FL
Mailing Address - Zip Code:33841-9231
Mailing Address - Country:US
Mailing Address - Phone:813-924-8041
Mailing Address - Fax:
Practice Address - Street 1:7892 N LAKE BUFFUM SHORE RD
Practice Address - Street 2:
Practice Address - City:FORT MEADE
Practice Address - State:FL
Practice Address - Zip Code:33841-9231
Practice Address - Country:US
Practice Address - Phone:813-924-8041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11807235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist