Provider Demographics
NPI:1295088987
Name:STRZELECKI, JOVINA HAVARD (AUD)
Entity type:Individual
Prefix:
First Name:JOVINA
Middle Name:HAVARD
Last Name:STRZELECKI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JOVINA
Other - Middle Name:FAYE
Other - Last Name:HAVARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1776 YGNACIO VALLEY RD
Mailing Address - Street 2:STE. 110
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3190
Mailing Address - Country:US
Mailing Address - Phone:928-933-8462
Mailing Address - Fax:925-933-4460
Practice Address - Street 1:1776 YGNACIO VALLEY RD
Practice Address - Street 2:STE. 110
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3190
Practice Address - Country:US
Practice Address - Phone:925-933-8462
Practice Address - Fax:925-933-4460
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2863231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist