Doctor Name: | MISS GIANA NICOLE RESTA |
NPI Number: | 1083916258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CF-SLP |
License Number: | TL-1832 |
Business Practice Address: | 520 Prospect Ave West Orange, NJ - 070523229 |
Business Phone Number: | 9733250805 |
Business Fax Number: | |
Mailing Address: | 210 Clinton St Apt 3c, HOBOKEN |
State: | NJ |
Postal Code: | 070308569 |
Phone Number: | 3479923715 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2010 |
NPI Last Update Date: | 11/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TL-1832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |