Individual
MISS JEANINE M MIZIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
310 WAYNE STREET, BEAVER, PA 15009-2252
(724) 774-2677
Mailing address
915 ANTHONY WAYNE DRIVE, BADEN, PA 15005-2105
(724) 875-0901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010486
PA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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