Provider Demographics
NPI:1689239485
Name:PASSADINO, JOSHUA ANGELO
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ANGELO
Last Name:PASSADINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-5052
Mailing Address - Country:US
Mailing Address - Phone:610-272-9766
Mailing Address - Fax:267-571-2591
Practice Address - Street 1:254 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-5052
Practice Address - Country:US
Practice Address - Phone:610-272-9766
Practice Address - Fax:267-571-2591
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03540237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist