Provider Demographics
NPI:1235661794
Name:PACCIONE, TONILYNN (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:TONILYNN
Middle Name:
Last Name:PACCIONE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 ROUTE 15 NORTH
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:NJ
Mailing Address - Zip Code:07848
Mailing Address - Country:US
Mailing Address - Phone:973-862-6377
Mailing Address - Fax:973-862-6379
Practice Address - Street 1:156 ROUTE 15 NORTH
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:NJ
Practice Address - Zip Code:07848
Practice Address - Country:US
Practice Address - Phone:973-862-6377
Practice Address - Fax:973-862-6379
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00225500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist