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Individual

MRS. JANET P MALINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP-L

Contact information

Practice address
136 EAST AVE, ERIE, PA 16507-1842
(814) 453-7661
(814) 455-1132
Mailing address
136 EAST AVE, ERIE, PA 16507-1842
(814) 453-7661
(814) 455-1132

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004437L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001776469 0002
PA
Enumeration date
05/11/2007
Last updated
10/11/2007
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