Provider Demographics
NPI:1568978716
Name:JANOWSKI BERNSTEIN, YEHUDIS (SLP)
Entity Type:Individual
Prefix:
First Name:YEHUDIS
Middle Name:
Last Name:JANOWSKI BERNSTEIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 ESTHER CRESCENT
Mailing Address - Street 2:
Mailing Address - City:THORNHILL
Mailing Address - State:ON
Mailing Address - Zip Code:438
Mailing Address - Country:CM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:165 ESTHER CRESCENT
Practice Address - Street 2:
Practice Address - City:THORNHILL
Practice Address - State:ON
Practice Address - Zip Code:L4J 3J8
Practice Address - Country:CA
Practice Address - Phone:905-709-1806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA15934235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist