Provider Demographics
NPI:1215441969
Name:GERMANO, DENISE LYNN
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:LYNN
Last Name:GERMANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:COOKIE
Other - Middle Name:
Other - Last Name:GERMANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1129 CHURCH ROAD
Mailing Address - Street 2:
Mailing Address - City:PEN ARGYL
Mailing Address - State:PA
Mailing Address - Zip Code:18072
Mailing Address - Country:US
Mailing Address - Phone:610-360-1243
Mailing Address - Fax:
Practice Address - Street 1:1129 CHURCH RD
Practice Address - Street 2:
Practice Address - City:PEN ARGYL
Practice Address - State:PA
Practice Address - Zip Code:18072-9752
Practice Address - Country:US
Practice Address - Phone:610-360-1243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist