Individual
JANNA PAVLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7591 TYLERS PLACE BLVD, WEST CHESTER, OH 45069-6308
(513) 755-6600
(513) 755-3762
Mailing address
7424 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
46002459A
IN
235Z00000X
Speech-Language Pathologist
Primary
SP11652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187155
—
OH
01
—
AB7360731
MEDICARE PIN
OH
Enumeration date
06/22/2013
Last updated
03/17/2018
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