Provider Demographics
NPI:1336482660
Name:GIGLIOTTI, ROSAMARIA TERESA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ROSAMARIA
Middle Name:TERESA
Last Name:GIGLIOTTI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6152 DELANCEY STATION ST STE 204
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4206
Mailing Address - Country:US
Mailing Address - Phone:813-616-4004
Mailing Address - Fax:
Practice Address - Street 1:6152 DELANCEY STATION ST STE 204
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4206
Practice Address - Country:US
Practice Address - Phone:813-616-4004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA14754235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist