Provider Demographics
NPI:1043656069
Name:GARRISON, GIOVANNA (CCC-SLP, TSSLD-BE)
Entity type:Individual
Prefix:
First Name:GIOVANNA
Middle Name:
Last Name:GARRISON
Suffix:
Gender:
Credentials:CCC-SLP, TSSLD-BE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CLOVER HILL DR
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-1604
Mailing Address - Country:US
Mailing Address - Phone:631-766-8527
Mailing Address - Fax:
Practice Address - Street 1:1000 W BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3328
Practice Address - Country:US
Practice Address - Phone:914-220-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
CT006142235Z00000X
NY027450-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No174400000XOther Service ProvidersSpecialist