Provider Demographics
NPI:1770614323
Name:CIMINO, MARY FRANCES (MED,CCC,SLP)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:FRANCES
Last Name:CIMINO
Suffix:
Gender:F
Credentials:MED,CCC,SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 HIGHBURY RD
Mailing Address - Street 2:
Mailing Address - City:CHESWICK
Mailing Address - State:PA
Mailing Address - Zip Code:15024-9419
Mailing Address - Country:US
Mailing Address - Phone:412-828-0845
Mailing Address - Fax:412-828-0845
Practice Address - Street 1:248 HIGHBURY RD
Practice Address - Street 2:
Practice Address - City:CHESWICK
Practice Address - State:PA
Practice Address - Zip Code:15024-9419
Practice Address - Country:US
Practice Address - Phone:412-828-0845
Practice Address - Fax:412-828-0845
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000113L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist