Provider Demographics
NPI:1033396528
Name:CIOSICI, ABBY L (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:L
Last Name:CIOSICI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7017 SCRUB JAY WAY
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-7188
Mailing Address - Country:US
Mailing Address - Phone:941-932-0716
Mailing Address - Fax:941-758-2840
Practice Address - Street 1:100 COBURN RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8855
Practice Address - Country:US
Practice Address - Phone:941-932-0716
Practice Address - Fax:941-758-2840
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-27
Last Update Date:2008-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 8050235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist