Provider Demographics
NPI:1841554490
Name:JODLOWSKI, SHEILA M (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:M
Last Name:JODLOWSKI
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3 ROETHAL DR
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5854
Mailing Address - Country:US
Mailing Address - Phone:845-897-1788
Mailing Address - Fax:845-897-1789
Practice Address - Street 1:3 ROETHAL DR
Practice Address - Street 2:SUITE 1A
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-5854
Practice Address - Country:US
Practice Address - Phone:845-897-1788
Practice Address - Fax:845-897-1789
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY783203971174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist