Individual
ANDREA LAUREN GIANNINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2421 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4773
(423) 288-3988
Mailing address
3004 SHELBY ST APT 316, BRISTOL, TN 37620-3450
(423) 930-0521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1745
CO
235Z00000X
Speech-Language Pathologist
2202007195
VA
235Z00000X
Speech-Language Pathologist
Primary
4790
TN
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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