Provider Demographics
NPI:1669647707
Name:KOWALSKI, JOANNE D (MA, CCC-SLP, TSHH)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:D
Last Name:KOWALSKI
Suffix:
Gender:F
Credentials:MA, CCC-SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3631 MUIRFIELD CT
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1848
Mailing Address - Country:US
Mailing Address - Phone:727-372-0180
Mailing Address - Fax:
Practice Address - Street 1:3631 MUIRFIELD CT
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-1848
Practice Address - Country:US
Practice Address - Phone:727-372-0180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006155-1235Z00000X
FLSA 12291235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist