| Doctor Name: | JUSTINE JOY PRUSKOWSKI |
| NPI Number: | 1336394139 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, SLP |
| License Number: | 104702 |
| Business Practice Address: | 500 Weavertown Rd Unit 79 Lebanon, PA - 170462260 |
| Business Phone Number: | 8149371985 |
| Business Fax Number: | |
| Mailing Address: | 500 Weavertown Rd, Unit 79 LEBANON |
| State: | PA |
| Postal Code: | 170462260 |
| Phone Number: | 8149371985 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2008 |
| NPI Last Update Date: | 10/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 104702 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |