Jordan Lyn Januszka
Individual provider Active NPI Speech-Language Pathologist · North Collins, NY
NPI 1992479844 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1992479844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 10469 Bantle Rd
North Collins, NY 14111-9781 - Phone
- (716) 337-0166
- NPI assigned
- Aug 4, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
10469 Bantle Rd
North Collins, NY 14111-9781
Mailing address
8685 Erie Rd
Angola, NY 14006-9620
Other providers in North Collins, NY
- Cora Gugino
- Wendy J Habermehl
- Kaitlyn Renee Hackett
- Brianna Harvey
- Cassidy Heinen
- Kathleen Johnson
- Shannon Jones
- Jamie L Kelly-Snyder
- Marie Hennessy Kerwin
- Janice Lee King
All providers in North Collins, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.