MEDICARE: MISS DANIELLE MARIE PESSIA MS CCC SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	023190-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710236443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DANIELLE MARIE PESSIA MS CCC SLP

Provider Business Mailing Address
First Line	:	146 FRANDEE LN
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14626-2541
Country	:	US
Telephone Number	:	585-737-9813
Fax Number	:

Provider Business Practice Location Address
First Line	:	146 FRANDEE LN
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14626-2541
Country	:	US
Telephone Number	:	585-737-9813
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2012
Last Update Date	:	04/22/2026

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Directions to “ MISS DANIELLE MARIE PESSIA MS CCC SLP” Practice Location

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