Doctor Name: | MRS. JODI PIERSON NEAL |
NPI Number: | 1891091740 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SL009851 |
Business Practice Address: | 8726 Route 219 Guardian Rehabilitation Services, Inc Brockway, PA - 15824 |
Business Phone Number: | 8142651164 |
Business Fax Number: | 8142652082 |
Mailing Address: | P.o. Box 240, 8796 Route 19, Vsi Building BROCKWAY |
State: | PA |
Postal Code: | 15824 |
Phone Number: | 8142651164 |
Fax Number: | 8142652082 |
NPI Enumeration Date: | 02/09/2011 |
NPI Last Update Date: | 04/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |