Provider Demographics
NPI:1427215383
Name:JOZWIAK, JENNIFER (MA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:JOZWIAK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1879 VETERANS PARK DRIVE
Mailing Address - Street 2:STE. 1201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0492
Mailing Address - Country:US
Mailing Address - Phone:239-592-9666
Mailing Address - Fax:239-592-1835
Practice Address - Street 1:1459 RIDGE ST
Practice Address - Street 2:STE 2
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4211
Practice Address - Country:US
Practice Address - Phone:239-262-6668
Practice Address - Fax:239-262-0017
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY745231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist