Provider Demographics
NPI:1912209578
Name:MALETTO, PATRICIA (MA-CCC/SLP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:MALETTO
Suffix:
Gender:F
Credentials:MA-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1411
Mailing Address - Country:US
Mailing Address - Phone:609-653-6119
Mailing Address - Fax:609-653-8492
Practice Address - Street 1:31 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1411
Practice Address - Country:US
Practice Address - Phone:609-653-6119
Practice Address - Fax:609-653-8492
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00299200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist