Individual
STACY GIANNETTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4 CORNWALL DR, EAST BRUNSWICK, NJ 08816-3332
(732) 585-2728
Mailing address
3 MANOR CT, OLD BRIDGE, NJ 08857-2753
(908) 812-9508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00909500
NJ
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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