Provider Demographics
NPI:1821031584
Name:RAGGIO, MARCIA EVE
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:EVE
Last Name:RAGGIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:EVE
Other - Last Name:RAGGIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:333 GELLERT BLVD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015
Mailing Address - Country:US
Mailing Address - Phone:650-994-3410
Mailing Address - Fax:650-994-5587
Practice Address - Street 1:333 GELLERT BLVD
Practice Address - Street 2:SUITE 118
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015
Practice Address - Country:US
Practice Address - Phone:650-994-3410
Practice Address - Fax:650-994-5587
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU636237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter