Individual
JANELLE MOYNIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
30 LAWRENCE HTS, JERICHO, VT 05465-3079
(415) 516-9653
Mailing address
30 LAWRENCE HTS, JERICHO, VT 05465-3079
(415) 516-9653
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144.0130762
VT
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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