Provider Demographics
NPI:1720114994
Name:GIAMETTA, JOAN DIGENNARO (LSPCCC)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:DIGENNARO
Last Name:GIAMETTA
Suffix:
Gender:F
Credentials:LSPCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3942 ANNE DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-1709
Mailing Address - Country:US
Mailing Address - Phone:516-804-5431
Mailing Address - Fax:516-804-5431
Practice Address - Street 1:3942 ANNE DR
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-1709
Practice Address - Country:US
Practice Address - Phone:516-804-5431
Practice Address - Fax:516-804-5431
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05957-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist