Provider Demographics
NPI:1144610379
Name:GIGLIOTTI, NATASHA VAYNER (CCC-SLP)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:VAYNER
Last Name:GIGLIOTTI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7622 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-1617
Mailing Address - Country:US
Mailing Address - Phone:818-422-6089
Mailing Address - Fax:
Practice Address - Street 1:7622 CHURCH ST
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-1617
Practice Address - Country:US
Practice Address - Phone:818-422-6089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2021-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18991235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist