Provider Demographics
NPI:1346493897
Name:ZIEMBICKI, JOHANNA (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JOHANNA
Middle Name:
Last Name:ZIEMBICKI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 CHELFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-1401
Mailing Address - Country:US
Mailing Address - Phone:610-283-3255
Mailing Address - Fax:
Practice Address - Street 1:27 CHELFIELD RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-1401
Practice Address - Country:US
Practice Address - Phone:610-283-3255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008613235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist