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1417555285 NPI number — JACQUELINE YALE GIORDANO M.S. CCC-SLP (CT&NY)

NPI Number: 1417555285
Health Care Provider/Practitioner: JACQUELINE YALE GIORDANO M.S. CCC-SLP (CT&NY)

Information about “1417555285” NPI (JACQUELINE YALE GIORDANO M.S. CCC-SLP (CT&NY)) exists in 1417555285 in HTML format HTML  |  1417555285 in plain Text format TXT  |  1417555285 in PDF (Portable Document Format) PDF  |  1417555285 in an XML format XML  formats.

NPI Number : 1417555285 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417555285",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GIORDANO",
    "FirstName": "JACQUELINE",
    "MiddleName": "YALE",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "M.S. CCC-SLP (CT&NY)",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2 MEADOW PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAST HAVEN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06512-4790",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-448-7768",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "420 E MAIN ST STE 13",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRANFORD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06405-2942",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-481-5556",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/14/2020",
    "LastUpdateDate": "11/06/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "030240",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "18.005956",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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