Provider Demographics
NPI:1659526283
Name:SILBER, JANNI LISA (MS-SLP-CCC)
Entity Type:Individual
Prefix:
First Name:JANNI
Middle Name:LISA
Last Name:SILBER
Suffix:
Gender:F
Credentials:MS-SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 WOODLAKE DR E
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2300
Mailing Address - Country:US
Mailing Address - Phone:516-921-8317
Mailing Address - Fax:
Practice Address - Street 1:138 WOODLAKE DR E
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2300
Practice Address - Country:US
Practice Address - Phone:516-921-8317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6314470235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist