Gibala-Broxholm, Janice Lynn

Gibala-Broxholm, Janice Lynn is an individual health care provider with primary practice located at 848 Peirson Ave , Newark NY 14513-9762. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gibala-Broxholm, Janice Lynn can be contacted via phone (315) 331-2086.

Contact Information

Primary practice address
848 Peirson Ave Newark NY 14513-9762
Phone: (315) 331-2086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 004533-1 New York

Profile Details

NPI number 1073779989
LBN Legal business name Gibala-Broxholm, Janice Lynn
Credentials CCC/LIC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2008
Last updated Jul 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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