Individual
JANET ZIMICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
310 DEVILS HOLE RD, CRESCO, PA 18326-7152
(570) 839-8697
Mailing address
310 DEVILS HOLE RD, CRESCO, PA 18326-7152
(570) 839-8697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010457
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102308508 0001
DEPARTMENT OF PUBLIC WELFARE
PA
Enumeration date
07/20/2011
Last updated
07/20/2011
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