Jeanine M Mizikar, MACCC-SLP Valid NPI
Individual provider · Speech-Language Pathologist · Beaver, PA
- NPI
- 1619256948
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- SL010486 (PA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-08-04
- Last updated
- 2011-08-04
Practice location
310 Wayne Street
Beaver, PA 15009-2252
(724) 774-2677