Provider Demographics
NPI:1184276487
Name:GIORDANO, MARINA STEFANIA (M ED, CF-SLP)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:STEFANIA
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:M ED, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 NICOLE CIR
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:GA
Mailing Address - Zip Code:30621-1177
Mailing Address - Country:US
Mailing Address - Phone:706-424-4477
Mailing Address - Fax:
Practice Address - Street 1:1106 E 16TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:CORDELE
Practice Address - State:GA
Practice Address - Zip Code:31015-4524
Practice Address - Country:US
Practice Address - Phone:229-271-4612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist