Provider Demographics
NPI:1710285515
Name:TRAFICANTI, JUDITH GRETTA (MS CCC)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:GRETTA
Last Name:TRAFICANTI
Suffix:
Gender:F
Credentials:MS CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 GRANITE RD
Mailing Address - Street 2:
Mailing Address - City:ACCORD
Mailing Address - State:NY
Mailing Address - Zip Code:12404-5030
Mailing Address - Country:US
Mailing Address - Phone:845-626-3533
Mailing Address - Fax:
Practice Address - Street 1:203 GRANITE RD
Practice Address - Street 2:RONDOUT VALLEY CENTRAL SHOOL DISTRICT
Practice Address - City:ACCORD
Practice Address - State:NY
Practice Address - Zip Code:12404
Practice Address - Country:US
Practice Address - Phone:845-687-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005479235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist