Gina Grande, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016656 Issued in NY

Practice address

320 Fletcher Ave
Valley Stream, NY 11580-3309

Phone

(631) 872-7748

NPI assigned

Jan 18, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Gina Lattanzio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1962773341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ELMWOOD RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117296105",
            "telephone_number": "631-796-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 FLETCHER AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803309",
            "telephone_number": "631-872-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "LATTANZIO",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Michael Governara, LCSW
• Alessandra Antonia Graci, LMSW
• Louis Graham
• Monique Yvette Graham, CASAC-T
• Myrva G. Grand-Pierre
• Kate Frances Grande
• Arlene Rae Granoff, LCSW
• Abigail Ayauna Grant, RN
• Keronica Grant
• Tatiana Grant, LMHC

• Speech-Language Pathologist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.