Provider Demographics
NPI:1740513183
Name:PRIANO, FEDERICA (PHD)
Entity type:Individual
Prefix:DR
First Name:FEDERICA
Middle Name:
Last Name:PRIANO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WALLACE AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-6041
Mailing Address - Country:US
Mailing Address - Phone:941-343-2742
Mailing Address - Fax:941-343-2743
Practice Address - Street 1:100 WALLACE AVE STE 130
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6041
Practice Address - Country:US
Practice Address - Phone:941-343-2742
Practice Address - Fax:941-343-2743
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-17
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7916103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist