MEDICARE: ALLISON JANUSZIEWICZ

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	13090	CA

General Provider Information

NPI Number	:	1548617418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON JANUSZIEWICZ

Provider Business Mailing Address
First Line	:	5030 ANCHOR WAY STE 7
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4692
Country	:	US
Telephone Number	:	340-719-7007
Fax Number	:

Provider Business Practice Location Address
First Line	:	5030 ANCHOR WAY STE 7
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4692
Country	:	US
Telephone Number	:	340-719-7007
Fax Number	:

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

Provider Enumeration Date	:	05/19/2016
Last Update Date	:	05/19/2016

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Directions to “ ALLISON JANUSZIEWICZ ” Practice Location

Language	Start Address	Practice Location

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