Provider Demographics
NPI:1346730355
Name:FOLLWEILER, JODI LYNN (LHIS)
Entity Type:Individual
Prefix:MS
First Name:JODI
Middle Name:LYNN
Last Name:FOLLWEILER
Suffix:
Gender:F
Credentials:LHIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 LONG DAM RD
Mailing Address - Street 2:
Mailing Address - City:KUTZTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19530-8914
Mailing Address - Country:US
Mailing Address - Phone:484-553-6720
Mailing Address - Fax:
Practice Address - Street 1:361 E MAIN ST
Practice Address - Street 2:
Practice Address - City:KUTZTOWN
Practice Address - State:PA
Practice Address - Zip Code:19530-1518
Practice Address - Country:US
Practice Address - Phone:484-648-0009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03410237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist