Provider Demographics
NPI:1770891905
Name:SICHEL, RONNIE NESS (MS, CAGS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:RONNIE
Middle Name:NESS
Last Name:SICHEL
Suffix:
Gender:F
Credentials:MS, CAGS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 VINCENT COURT
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-4017
Mailing Address - Country:US
Mailing Address - Phone:203-249-6645
Mailing Address - Fax:203-348-7050
Practice Address - Street 1:19 VINCENT COURT
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-4017
Practice Address - Country:US
Practice Address - Phone:203-249-6645
Practice Address - Fax:203-348-7050
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000986235Z00000X
NY58 011910235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY58 011910OtherSPPECH AND LANGUAGE PATHOLOGIST
CT000986OtherLICENS