Provider Demographics
NPI:1679170781
Name:GIANFRATE, TAYLOR JANE
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:JANE
Last Name:GIANFRATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 RIDDLE OAK LN
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-9510
Mailing Address - Country:US
Mailing Address - Phone:781-879-3773
Mailing Address - Fax:
Practice Address - Street 1:1006 RIDDLE OAK LN
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-9510
Practice Address - Country:US
Practice Address - Phone:781-879-3773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician