Provider Demographics
NPI:1750665188
Name:MECCIA-LAFFIN, NANCY L (MS,CCC,SLP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:MECCIA-LAFFIN
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 1:4 ERIN SUE DR
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-5371
Mailing Address - Country:US
Mailing Address - Phone:845-460-6900
Mailing Address - Fax:
Practice Address - Street 1:156 PINE TREE RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-3964
Practice Address - Country:US
Practice Address - Phone:845-460-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005031-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY005031-1OtherNYS LICENSE NUMBER