| Doctor Name: | DR. NANCY JEAN ANTONINO |
| NPI Number: | 1265670517 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | 2245 |
| Business Practice Address: | 110 N Main St Greenville, PA - 161251726 |
| Business Phone Number: | 7245883001 |
| Business Fax Number: | 7245889620 |
| Mailing Address: | 1989 Parkview Blvd, HERMITAGE |
| State: | PA |
| Postal Code: | 161481578 |
| Phone Number: | 7249816856 |
| Fax Number: | 7249815176 |
| NPI Enumeration Date: | 01/25/2009 |
| NPI Last Update Date: | 01/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2245 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |