Provider Demographics
NPI:1396131991
Name:BARTOLOTTA, NADIA SARA (SLP)
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:SARA
Last Name:BARTOLOTTA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4752 SWORDFISH DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-5348
Mailing Address - Country:US
Mailing Address - Phone:919-901-0065
Mailing Address - Fax:
Practice Address - Street 1:4752 SWORDFISH DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-5348
Practice Address - Country:US
Practice Address - Phone:919-901-0065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC111278235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist