Provider Demographics
NPI:1831599596
Name:PALAZZOTTO, DEANNA L
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:L
Last Name:PALAZZOTTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 S EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:AMITY HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11701-4144
Mailing Address - Country:US
Mailing Address - Phone:516-978-7688
Mailing Address - Fax:
Practice Address - Street 1:36 S EMERSON AVE
Practice Address - Street 2:
Practice Address - City:AMITY HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11701-4144
Practice Address - Country:US
Practice Address - Phone:516-978-7688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-01
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist