Individual
MS. CAROL JOHNSON GIANGRASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7 MARES LN, GARDINER, NY 12525-5224
(845) 256-9538
Mailing address
7 MARES LN, GARDINER, NY 12525-5224
(845) 256-9538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003647-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003647-1
STATE LICENSURE
NY
Enumeration date
01/09/2007
Last updated
07/08/2007
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