Provider Demographics
NPI:1376860528
Name:BATTAGLIA, TERSSA MARIE (MA SLP)
Entity type:Individual
Prefix:MS
First Name:TERSSA
Middle Name:MARIE
Last Name:BATTAGLIA
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6871 AMES RD
Mailing Address - Street 2:APARTMENT 301
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5876
Mailing Address - Country:US
Mailing Address - Phone:716-472-3328
Mailing Address - Fax:
Practice Address - Street 1:6871 AMES RD
Practice Address - Street 2:APARTMENT 301
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5876
Practice Address - Country:US
Practice Address - Phone:716-472-3328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2010183235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist