MEDICARE: GEROGIANNA BARANOWSKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	22008651A	IN

General Provider Information

NPI Number	:	1548884877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEROGIANNA BARANOWSKI

Provider Business Mailing Address
First Line	:	6023 WEXFORD WAY
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-0273
Country	:	US
Telephone Number	:	260-449-1775
Fax Number	:

Provider Business Practice Location Address
First Line	:	1123 N MAIN ST
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-2714
Country	:	US
Telephone Number	:	260-449-1775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	05/22/2026

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Directions to “ GEROGIANNA BARANOWSKI ” Practice Location

Language	Start Address	Practice Location

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