Provider Demographics
NPI:1013053651
Name:TREUBIG, JANICE L (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:L
Last Name:TREUBIG
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 AVENUE A APT 1
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-1802
Mailing Address - Country:US
Mailing Address - Phone:862-485-1266
Mailing Address - Fax:
Practice Address - Street 1:68 AVENUE A APT 1
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-1802
Practice Address - Country:US
Practice Address - Phone:862-485-1266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist