Provider Demographics
NPI:1265591473
Name:NACCARI, ANGELA P (CCC-A, CERTAVT)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:P
Last Name:NACCARI
Suffix:
Gender:F
Credentials:CCC-A, CERTAVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4624 SUMMIT CV
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-4206
Mailing Address - Country:US
Mailing Address - Phone:205-987-8369
Mailing Address - Fax:205-989-9705
Practice Address - Street 1:4624 SUMMIT CV
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-4206
Practice Address - Country:US
Practice Address - Phone:205-987-8369
Practice Address - Fax:205-989-9705
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL609A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist