Provider Demographics
NPI:1356576573
Name:FALCIGLIA, DANIELLE NICOLETTA (PHD CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:NICOLETTA
Last Name:FALCIGLIA
Suffix:
Gender:F
Credentials:PHD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1069 RINGWOOD AVE
Mailing Address - Street 2:SUITE 311A
Mailing Address - City:HASKELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07420
Mailing Address - Country:US
Mailing Address - Phone:973-506-4447
Mailing Address - Fax:
Practice Address - Street 1:1069 RINGWOOD AVE
Practice Address - Street 2:SUITE 311A
Practice Address - City:HASKELL
Practice Address - State:NJ
Practice Address - Zip Code:07420-1408
Practice Address - Country:US
Practice Address - Phone:973-506-4447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00562500235Z00000X
NY017804235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist