Provider Demographics
NPI:1578962148
Name:GALEANO, LILIANA (SLP)
Entity Type:Individual
Prefix:MS
First Name:LILIANA
Middle Name:
Last Name:GALEANO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:LILIANA
Other - Middle Name:
Other - Last Name:LENIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:4802 51ST ST W APT 2001
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34210-5117
Mailing Address - Country:US
Mailing Address - Phone:516-946-4174
Mailing Address - Fax:
Practice Address - Street 1:4802 51ST ST W APT 2001
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-5117
Practice Address - Country:US
Practice Address - Phone:516-946-4174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL235Z00000X
FLSA 13421235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist