NPI 1245582840

Michael Pezzullo, SLPCCC

Practitioner Speech-Language Pathologist Apo, AE

Practice location

Address: USA Meddac Bavaria Cmr 411, Bldg 700, Rose Barracks, Apo, AE 09112
Phone: 499662834719
Fax: 499662834721
Mailing address: 134 Entrance Way, Mahopac, NY 10541-1315

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 020537 (NY)

Other Speech-Language Pathologist providers in Armed Forces Europe →

Registry record

NPI: 1245582840
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2012
Record last updated: 5 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.