Provider Demographics
NPI:1710296165
Name:PONSETI, PATRICIA K (MCD/CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:K
Last Name:PONSETI
Suffix:
Gender:F
Credentials:MCD/CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 IRVING RD
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3426
Mailing Address - Country:US
Mailing Address - Phone:205-335-9334
Mailing Address - Fax:
Practice Address - Street 1:924 IRVING RD
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-3426
Practice Address - Country:US
Practice Address - Phone:205-335-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2333235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist