Provider Demographics
NPI:1831834449
Name:HUGG, RIZZLE ANNE MARIE QUERIDA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:RIZZLE ANNE MARIE
Middle Name:QUERIDA
Last Name:HUGG
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:RIZZLE ANNE MARIE
Other - Middle Name:TAMAYO
Other - Last Name:QUERIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:236 LOG POND LN
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-1135
Mailing Address - Country:US
Mailing Address - Phone:916-235-3798
Mailing Address - Fax:
Practice Address - Street 1:832 BORON CT
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-2849
Practice Address - Country:US
Practice Address - Phone:916-235-3798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32104235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist