MEDICARE: MRS. JOANNE D. KOWALSKI M.A., CCC-SLP, TSHH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	006155-1	NY
2	235Z00000X	Speech-Language Pathologist	SA 12291	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669647707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOANNE D. KOWALSKI M.A., CCC-SLP, TSHH

Provider Business Mailing Address
First Line	:	3631 MUIRFIELD CT
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-1848
Country	:	US
Telephone Number	:	727-372-0180
Fax Number	:

Provider Business Practice Location Address
First Line	:	3631 MUIRFIELD CT
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-1848
Country	:	US
Telephone Number	:	727-372-0180
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	07/18/2013

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Directions to “ MRS. JOANNE D. KOWALSKI M.A., CCC-SLP, TSHH” Practice Location

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