Provider Demographics
NPI:1073292736
Name:DURAN GIOVANNETTI, ANA LILIANA (SLPA)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:LILIANA
Last Name:DURAN GIOVANNETTI
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 NW 128TH DR APT 202
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-5213
Mailing Address - Country:US
Mailing Address - Phone:954-651-1243
Mailing Address - Fax:
Practice Address - Street 1:1550 NW 128TH DR APT 202
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-5213
Practice Address - Country:US
Practice Address - Phone:954-651-1243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty