Provider Demographics
NPI:1952638074
Name:KNOTH, GIANINA GAUCI (PHD, LAC)
Entity Type:Individual
Prefix:DR
First Name:GIANINA
Middle Name:GAUCI
Last Name:KNOTH
Suffix:
Gender:F
Credentials:PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7030
Mailing Address - Country:US
Mailing Address - Phone:954-796-0005
Mailing Address - Fax:
Practice Address - Street 1:953 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7030
Practice Address - Country:US
Practice Address - Phone:954-796-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17974101YP1600X
FLAP2747171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral