Individual ProviderStacy GiannettinoSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address4 Cornwall Dr, East Brunswick, NJ 08816-3332(732) 585-2728(908) 812-9508PECOS EnrollmentBased on the most recent information from CMS, provider Stacy Giannettino does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:53 AM.Profile DetailsProvider ID1457025181Provider TypeIndividualFull NameGiannettino, StacyCredentialCCC-SLPGenderFemaleSole ProprietorNoEnumeration Date8/5/2021Last Updated8/5/2021Contact InformationPractice LocationPractice Address4 Cornwall Dr, East Brunswick, NJ 08816-3332Phone(732) 585-2728FaxUnlisted FaxMailing LocationMailing Address3 Manor Ct, Old Bridge, NJ 08857-2753Phone(908) 812-9508FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense41YS00909500New Jersey