Provider Demographics
NPI:1699908442
Name:CODY, GIANNA MERCEDES (MACCC-SLP/TSSLD)
Entity type:Individual
Prefix:MS
First Name:GIANNA
Middle Name:MERCEDES
Last Name:CODY
Suffix:
Gender:F
Credentials:MACCC-SLP/TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2094 LINDGREN ST
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3317
Mailing Address - Country:US
Mailing Address - Phone:516-574-3722
Mailing Address - Fax:
Practice Address - Street 1:2094 LINDGREN ST
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3317
Practice Address - Country:US
Practice Address - Phone:516-574-3722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist