Individual
JOANN PETRONCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2931
(973) 754-4330
Mailing address
55 SUNSET RD, FAIRFIELD, NJ 07004-3828
(201) 452-1522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00100100
NJ
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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