Provider Demographics
NPI:1891091740
Name:NEAL, JODI PIERSON (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JODI
Middle Name:PIERSON
Last Name:NEAL
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:P.O. BOX 240
Mailing Address - Street 2:8796 ROUTE 19, VSI BUILDING
Mailing Address - City:BROCKWAY
Mailing Address - State:PA
Mailing Address - Zip Code:15824
Mailing Address - Country:US
Mailing Address - Phone:814-265-1164
Mailing Address - Fax:814-265-2082
Practice Address - Street 1:8726 ROUTE 219
Practice Address - Street 2:GUARDIAN REHABILITATION SERVICES, INC
Practice Address - City:BROCKWAY
Practice Address - State:PA
Practice Address - Zip Code:15824
Practice Address - Country:US
Practice Address - Phone:814-265-1164
Practice Address - Fax:814-265-2082
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2012-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASL009851235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist