Provider Demographics
NPI:1649478439
Name:WHITMAN, JO-ANN WHITMAN (MED, CCC-A)
Entity type:Individual
Prefix:
First Name:JO-ANN
Middle Name:WHITMAN
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:MED, CCC-A
Other - Prefix:
Other - First Name:JO-ANN
Other - Middle Name:WHITMAN
Other - Last Name:LANZAFANE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED, CCC-A
Mailing Address - Street 1:848 CENTRAL STREET
Mailing Address - Street 2:THE LEARNING CENTER FOR DEAF CHILDREN
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701
Mailing Address - Country:US
Mailing Address - Phone:508-875-4559
Mailing Address - Fax:508-875-9203
Practice Address - Street 1:848 CENTRAL STREET
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701
Practice Address - Country:US
Practice Address - Phone:508-875-4559
Practice Address - Fax:508-875-9203
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2012-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA229231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4687881OtherTUFTS HEALTH PLAN
MA1301713Medicaid
MA602455OtherHARVARD PILGRIM HEALTH
MAAD0046OtherBLUE CROSS BLUE SHIELD
WH020564Medicare ID - Type Unspecified