Provider Demographics
NPI:1528843133
Name:RICCI-KUSEIAN, MONICA LEIGH (MA, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LEIGH
Last Name:RICCI-KUSEIAN
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:LEIGH
Other - Last Name:RICCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1325 SKILES BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7387
Mailing Address - Country:US
Mailing Address - Phone:610-675-4343
Mailing Address - Fax:
Practice Address - Street 1:2523 BERWYN RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3568
Practice Address - Country:US
Practice Address - Phone:610-675-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO1-0012187235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist