Provider Demographics
NPI:1396880928
Name:JOHNSTON, JUDITH JANEEN (MS)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:JANEEN
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ASBY & ZEIGLER ASSOCIATES
Mailing Address - Street 2:403 THIRD AVE
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704
Mailing Address - Country:US
Mailing Address - Phone:570-714-2656
Mailing Address - Fax:570-714-2799
Practice Address - Street 1:ASBY & ZEIGLER ASSOCIATES
Practice Address - Street 2:403 THIRD AVE
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704
Practice Address - Country:US
Practice Address - Phone:570-714-2656
Practice Address - Fax:570-714-2799
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT001064L231H00000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1587983OtherBLUE SHIELD
PA1587983OtherBC - BS PPO
PA171324OtherUNISON - MED PLUS
PA819308OtherHMO 1ST PRIORITY
PA0019742130002Medicaid
PA085821TOPOtherBC - BS FREEDOM BLUE PPO
PA0019742130001Medicaid
PA1587983OtherPEBTF - BS
PA1587983OtherPEBTF - BS
PA1587983OtherBC - BS PPO