Donna Marie Difulvio, MS
Speech-Language Pathologist, in Marietta, NY. Individual provider (NPI-1).
NPI number1679856462
StatusActive
Last updated in NPPESSep 28, 2011
Details
- NPI
- 1679856462
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Donna Marie Difulvio
- Credential
- MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2011
- Last updated
- Sep 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 004695-1 | NY | Yes |
Practice location
2593 Buckwheat RdMarietta, NY 13110-3109
Phone 315-636-8551
Mailing address
2593 Buckwheat RdMarietta, NY 13110-3109
Phone 315-636-8551
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