Provider Demographics
NPI:1851652176
Name:NECULA, ALICE VECIUNCA (MED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:VECIUNCA
Last Name:NECULA
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 OLDE LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-3724
Mailing Address - Country:US
Mailing Address - Phone:404-642-6507
Mailing Address - Fax:
Practice Address - Street 1:1237 OLDE LEXINGTON RD
Practice Address - Street 2:
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-3724
Practice Address - Country:US
Practice Address - Phone:404-642-6507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP007694235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist