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1942412408 NPI number — JOANNA MARIE RODMAN M.A. CCC-SLP

NPI Number: 1942412408
Health Care Provider/Practitioner: JOANNA MARIE RODMAN M.A. CCC-SLP

Information about “1942412408” NPI (JOANNA MARIE RODMAN M.A. CCC-SLP) exists in 1942412408 in HTML format HTML  |  1942412408 in plain Text format TXT  |  1942412408 in PDF (Portable Document Format) PDF  |  1942412408 in an XML format XML  formats.

NPI Number : 1942412408 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942412408",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RODMAN",
    "FirstName": "JOANNA",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.A. CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "17 SKYLINE CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEWELL",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08080-4345",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-464-0425",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "550 JESSUP RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PAULSBORO",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08066-1921",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-848-9551",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/04/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "41YS00375500",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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