Joann Petronchak, MS, CCC
Speech-Language Pathologist, in Paterson, New Jersey
1558046318- Practice location
- 703 Main St, Paterson, NJ 07503-2621
- Phone
- 973-754-2931
- Fax
- 973-754-4330
- Last updated
- June 20, 2023
Joann Petronchak is a Speech-Language Pathologist, based in Paterson, NJ. Joann Petronchak practices in Paterson, NJ and has the professional credentials of MS, CCC. The NPI Number for Joann Petronchak is 1558046318 and holds a License No. 41YS00100100 (NJ). The current practice location address for Joann Petronchak is 703 Main St, Paterson, NJ 07503-2621 and can be reached out via phone at 973-754-2931 and via fax at 973-754-4330.
Provider Profile Details
- NPI Number
- 1558046318
- Provider Name
- Joann Petronchak
- Credential
- MS, CCC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 703 Main St, Paterson, NJ 07503-2621
- Phone Number
- 973-754-2931
- Fax Number
- 973-754-4330
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 20, 2023
- Last Update Date
- June 20, 2023
- Certification Date
- June 20, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 703 Main St
Paterson, NJ 07503-2621 - City
- Paterson
- State
- New Jersey
- Zip
- 07503-2621
- Phone Number
- 973-754-2931
- Fax Number
- 973-754-4330
Provider Business Mailing Address Details
- Address
- 55 Sunset RD
Fairfield, NJ 07004-3828 - City
- Fairfield
- State
- NJ
- Zip
- 07004-3828
- Phone Number
- 201-452-1522
License Information
- License Number
- 41YS00100100
- License State
- NJ
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Joann Petronchak, MS, CCC?
The NPI number of Joann Petronchak, MS, CCC is 1558046318. It was assigned on June 20, 2023 and is currently active in the NPPES registry.
What is the specialty of Joann Petronchak, MS, CCC?
Joann Petronchak, MS, CCC is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00100100.
Where does Joann Petronchak, MS, CCC practice?
The practice location is 703 Main St, Paterson, NJ 07503-2621. The office can be reached at 973-754-2931 (phone) or 973-754-4330 (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 1558046318 directly on the NPPES registry website.