Provider Demographics
NPI:1912115924
Name:LOEB, JANICE BETH (JANICE LOEB)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:BETH
Last Name:LOEB
Suffix:
Gender:F
Credentials:JANICE LOEB
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:LOEB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JANICE LOEB, MS
Mailing Address - Street 1:412 AVENUE OF THE AMERICAS
Mailing Address - Street 2:STE. 408-409
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8409
Mailing Address - Country:US
Mailing Address - Phone:212-627-4545
Mailing Address - Fax:
Practice Address - Street 1:412 AVENUE OF THE AMERICAS
Practice Address - Street 2:STE. 408-409
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8409
Practice Address - Country:US
Practice Address - Phone:212-627-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010146-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist