Active NPIIndividual providerSole proprietor

Jodi M Baniukiewicz, MS, CCC/SLP

Speech-Language Pathologist, in Worcester, Massachusetts

NPI Number1194979757
Practice location
335 Chandler St, Worcester, MA 01602-3441
Fax
508-767-3095
Last updated
November 10, 2008

Jodi Marie Baniukiewicz is a Speech-Language Pathologist, based in Worcester, MA. Jodi Marie Baniukiewicz practices in Worcester, MA and has the professional credentials of MS, CCC/SLP. The NPI Number for Jodi Marie Baniukiewicz is 1194979757 and holds a License No. SP-7570-SL (MA). The current practice location address for Jodi Marie Baniukiewicz is 335 Chandler St, Worcester, MA 01602-3441 and can be reached out via phone at 508-753-2967 and via fax at 508-767-3095.

Provider Profile Details

NPI Number
1194979757
Provider Name
Jodi Marie Baniukiewicz
Credential
MS, CCC/SLP
Provider Entity Type
Individual
Gender
Female
Address
335 Chandler St, Worcester, MA 01602-3441
Phone Number
508-753-2967
Fax Number
508-767-3095
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 10, 2008
Last Update Date
November 10, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
335 Chandler St
Worcester, MA 01602-3441
Zip
01602-3441
Phone Number
508-753-2967
Fax Number
508-767-3095
Worcester, MA 01602Get directions →

Provider Business Mailing Address Details

Address
335 Chandler St
Worcester, MA 01602-3441
City
Worcester
State
MA
Zip
01602-3441
Phone Number
508-753-2967
Fax Number
508-767-3095

License Information

License Number
SP-7570-SL
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jodi M Baniukiewicz, MS, CCC/SLP?

The NPI number of Jodi M Baniukiewicz, MS, CCC/SLP is 1194979757. It was assigned on November 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Jodi M Baniukiewicz, MS, CCC/SLP?

Jodi M Baniukiewicz, MS, CCC/SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number SP-7570-SL.

Where does Jodi M Baniukiewicz, MS, CCC/SLP practice?

The practice location is 335 Chandler St, Worcester, MA 01602-3441. The office can be reached at 508-753-2967 (phone) or 508-767-3095 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194979757 directly on the NPPES registry website.

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