Provider Demographics
NPI:1366238149
Name:DICICCO, ALESSIA
Entity type:Individual
Prefix:
First Name:ALESSIA
Middle Name:
Last Name:DICICCO
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 BOULDER ST UNIT 429
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4014
Mailing Address - Country:US
Mailing Address - Phone:954-740-2053
Mailing Address - Fax:
Practice Address - Street 1:4700 TABOR ST
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2172
Practice Address - Country:US
Practice Address - Phone:303-421-4161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist