Basic Information
| Provider Information | |||||||||
| NPI: | 1982685426 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GIULIANO | ||||||||
| FirstName: | LYNNE | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MS CCC SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1068 23RD AVE N | ||||||||
| Address2: | |||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337043228 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7278226806 | ||||||||
| FaxNumber: | 7278251750 | ||||||||
| Practice Location | |||||||||
| Address1: | 1068 23RD AVE N | ||||||||
| Address2: | |||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337043228 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7278226806 | ||||||||
| FaxNumber: | 7278251750 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SA1009 | FL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.