National Provider Identifier
Jordan Lyn Januszka
Jordan Lyn Januszka is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in North Collins, NY and a listed phone number of (716) 337-0166.
Profile Overview
- NPI
- 1992479844
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 04, 2021
- Last Updated
- August 04, 2021
Practice Location
- 10469 Bantle RD
- North Collins, NY 14111-9781
Phone: (716) 337-0166
Mailing Address
- 8685 Erie RD
- Angola, NY 14006-9620
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1992479844
- Entity Type
- Individual
- Last Name
- Januszka
- First Name
- Jordan
- Middle Name
- Lyn
- Mailing Street Address
- 8685 Erie RD
- Mailing City
- Angola
- Mailing State
- NY
- Mailing ZIP Code
- 14006-9620
- Mailing Country
- US
- Practice Street Address
- 10469 Bantle RD
- Practice City
- North Collins
- Practice State
- NY
- Practice ZIP Code
- 14111-9781
- Practice Country
- US
- Practice Phone
- (716) 337-0166
- Enumeration Date
- August 04, 2021
- Last Updated
- August 04, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 04, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)