Jane K. Wodicka, MA, CCC-SLP, TSHH

Speech-Language Pathologist · Great River, NY

Individual Active NPI

NPI number 1629474499

Practice location

22 Provost Ln
Great River, NY 11739-3017
Phone
(631) 921-2463
Fax
(631) 859-0582

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NPI record

NPI
1629474499
Entity type
Individual (Type 1)
Enumeration date
November 6, 2014
Last updated
April 13, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 011832-1 NY

About Jane Wodicka

Jane K. Wodicka, MA, CCC-SLP, TSHH is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 22 Provost Ln, Great River, NY 11739-3017. The NPI number 1629474499 was assigned on November 6, 2014 and the record was last updated on April 13, 2015.

Jane Wodicka lists a license in the registry: #011832-1 (NY) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jane K. Wodicka, MA, CCC-SLP, TSHH?

The NPI number is 1629474499.

What is the phone number of Jane Wodicka?

The phone number listed for the practice location is (631) 921-2463.

Where is Jane Wodicka located?

22 Provost Ln, Great River, NY 11739-3017.

What is the taxonomy code for Jane Wodicka?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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