Dr. Nancy Jean Antonino, CCC-SLP
Speech-Language Pathologist, in Greenville, PA. Individual provider (NPI-1).
NPI number1265670517
StatusActive
Last updated in NPPESJan 25, 2009
Details
- NPI
- 1265670517
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nancy Jean Antonino
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2009
- Last updated
- Jan 25, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SL001083L | PA | Yes |
| 235Z00000X | Speech-Language Pathologist, | 2245 | OH |
Other names
- Nancy Jean Antonino (Professional Name)
Practice location
110 N Main StGreenville, PA 16125-1726
Phone 724-588-3001 · Fax 724-588-9620
Mailing address
1989 Parkview BlvdHermitage, PA 16148-1578
Phone 724-981-6856 · Fax 724-981-5176
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