Provider Demographics
NPI:1750875365
Name:CIANCIA, MICHELLE JENNIFER (AUD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:JENNIFER
Last Name:CIANCIA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1347 PRICE ST
Mailing Address - Street 2:
Mailing Address - City:TRAINER
Mailing Address - State:PA
Mailing Address - Zip Code:19061-5333
Mailing Address - Country:US
Mailing Address - Phone:484-557-4094
Mailing Address - Fax:
Practice Address - Street 1:160 E ERIE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1011
Practice Address - Country:US
Practice Address - Phone:215-427-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist