Provider Demographics
NPI:1689896573
Name:GIORDANO, GINA R (MS CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:GINA
Middle Name:R
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 CHESTNUT ST
Mailing Address - Street 2:200
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103
Mailing Address - Country:US
Mailing Address - Phone:215-561-0550
Mailing Address - Fax:215-561-1235
Practice Address - Street 1:1920 CHESTNUT ST
Practice Address - Street 2:200
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103
Practice Address - Country:US
Practice Address - Phone:215-561-0550
Practice Address - Fax:215-561-1235
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005775231H00000X
NJ41YA00060800231H00000X
NJ25MG00101600237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter