Provider Demographics
NPI:1770622151
Name:HARWOOD, JANINE ANN
Entity type:Individual
Prefix:MS
First Name:JANINE
Middle Name:ANN
Last Name:HARWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3774 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2319
Mailing Address - Country:US
Mailing Address - Phone:516-785-0823
Mailing Address - Fax:516-785-0823
Practice Address - Street 1:3774 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2319
Practice Address - Country:US
Practice Address - Phone:516-785-0823
Practice Address - Fax:516-785-0823
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008283-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist