Provider Demographics
NPI:1629346119
Name:GERMANO, LUCIA MARIA (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LUCIA
Middle Name:MARIA
Last Name:GERMANO
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43A COOPER TER
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-4972
Mailing Address - Country:US
Mailing Address - Phone:718-791-0918
Mailing Address - Fax:
Practice Address - Street 1:43A COOPER TER
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-4972
Practice Address - Country:US
Practice Address - Phone:718-791-0918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ235Z00000X
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist