Provider Demographics
NPI:1659153153
Name:CUNEO, SAVANNAH JOY
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:JOY
Last Name:CUNEO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 10TH ST APT 307
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7054
Mailing Address - Country:US
Mailing Address - Phone:360-499-9022
Mailing Address - Fax:
Practice Address - Street 1:7622 44TH AVE NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-3769
Practice Address - Country:US
Practice Address - Phone:360-965-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASI61403640235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist