Provider Demographics
NPI:1982685426
Name:GIULIANO, LYNNE C (MS CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:C
Last Name:GIULIANO
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1068 23RD AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3228
Mailing Address - Country:US
Mailing Address - Phone:727-822-6806
Mailing Address - Fax:727-825-1750
Practice Address - Street 1:1068 23RD AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-3228
Practice Address - Country:US
Practice Address - Phone:727-822-6806
Practice Address - Fax:727-825-1750
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA1009235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist