Provider Demographics
NPI:1992376578
Name:SCIANIMANICO, LAUREEN ROSE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LAUREEN
Middle Name:ROSE
Last Name:SCIANIMANICO
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 1:8 ROSELL CT
Mailing Address - Street 2:
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-6127
Mailing Address - Country:US
Mailing Address - Phone:845-826-3205
Mailing Address - Fax:
Practice Address - Street 1:3374 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:NY
Practice Address - Zip Code:12545-5969
Practice Address - Country:US
Practice Address - Phone:845-677-3251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist