Provider Demographics
NPI:1083916258
Name:RESTA, GIANA NICOLE (MS CF-SLP)
Entity Type:Individual
Prefix:MISS
First Name:GIANA
Middle Name:NICOLE
Last Name:RESTA
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 CLINTON ST APT 3C
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-8569
Mailing Address - Country:US
Mailing Address - Phone:347-992-3715
Mailing Address - Fax:
Practice Address - Street 1:520 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-3229
Practice Address - Country:US
Practice Address - Phone:973-325-0805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTL-1832235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist