Provider Demographics
NPI:1588391601
Name:MARCHEGIANI, BRIANNA JANETTE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:JANETTE
Last Name:MARCHEGIANI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 NW 136TH AVE APT 352
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-5366
Mailing Address - Country:US
Mailing Address - Phone:941-702-0181
Mailing Address - Fax:
Practice Address - Street 1:1931 NE 47TH STREET
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308
Practice Address - Country:US
Practice Address - Phone:951-542-3480
Practice Address - Fax:954-414-9751
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA20345235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist