Provider Demographics
NPI:1912150855
Name:CHECCHI, ANNE MARIE (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:CHECCHI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 BRADHURST AVENUE
Mailing Address - Street 2:BLYTHEDALE CHILDREN'S HOSPITAL
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1567
Mailing Address - Country:US
Mailing Address - Phone:914-592-7555
Mailing Address - Fax:
Practice Address - Street 1:95 BRADHURST AVENUE
Practice Address - Street 2:BLYTHEDALE CHILDREN'S HOSPITAL
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1567
Practice Address - Country:US
Practice Address - Phone:914-592-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005097235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist