Provider Demographics
NPI:1285005942
Name:GIANFILIPPO, MARIA (SLP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:GIANFILIPPO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N MERCURY AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3123
Mailing Address - Country:US
Mailing Address - Phone:727-678-0772
Mailing Address - Fax:
Practice Address - Street 1:8254 118TH AVE NORTH
Practice Address - Street 2:SUITE 100
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-5027
Practice Address - Country:US
Practice Address - Phone:727-541-5034
Practice Address - Fax:727-546-8527
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ7380235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist