Individual
JOELLE MARIE BANJAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1404 HAY ST, BERLIN, PA 15530-1455
(814) 267-4212
Mailing address
1902A WASHINGTON ST, WINDBER, PA 15963-2377
(814) 659-9083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005694L
PA
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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