Provider Demographics
NPI:1780965624
Name:FITZULA, BARBARA ANNE (MS,CCC-SLP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:FITZULA
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ANNE
Other - Last Name:CARDACI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10930-2942
Mailing Address - Country:US
Mailing Address - Phone:845-928-9179
Mailing Address - Fax:845-928-9179
Practice Address - Street 1:138 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10927-1875
Practice Address - Country:US
Practice Address - Phone:845-429-2225
Practice Address - Fax:845-429-8930
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014192-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist