Provider Demographics
NPI:1689073405
Name:GIANNETTI, DANA
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:GIANNETTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 KINGS HWY N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1906
Mailing Address - Country:US
Mailing Address - Phone:856-667-1575
Mailing Address - Fax:856-667-3020
Practice Address - Street 1:200 BOWMAN DR
Practice Address - Street 2:SUITE D285
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9623
Practice Address - Country:US
Practice Address - Phone:856-602-4000
Practice Address - Fax:856-667-3020
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00088600231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist