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General NPI Number Information
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NPI Number | 1043656069
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Entity Type | Individual
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Provider Name | GIOVANNA GARRISON CCC-SLP, TSSLD-BE
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Gender | Female
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1000 W BOSTON POST RD
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City | MAMARONECK
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State | NY
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Zip | 10543-3328
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Country | US
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Telephone | 914-220-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 60 CLOVER HILL DR
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City | STAMFORD
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State | CT
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Zip | 06902-1604
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Country | US
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Telephone | 631-766-8527
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 006142
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 027450-1
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License Number State | NY
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