Provider Demographics
NPI:1134691108
Name:NAHODIL, JANEEN ELAINE (M ED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JANEEN
Middle Name:ELAINE
Last Name:NAHODIL
Suffix:
Gender:F
Credentials:M ED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1353
Mailing Address - Country:US
Mailing Address - Phone:570-985-7500
Mailing Address - Fax:
Practice Address - Street 1:718 TERRACE DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1353
Practice Address - Country:US
Practice Address - Phone:570-985-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist