Provider Demographics
NPI:1861407207
Name:PFEIFFER, JANA M (MS, CCC, SLP)
Entity type:Individual
Prefix:MS
First Name:JANA
Middle Name:M
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:MS, CCC, SLP
Other - Prefix:MS
Other - First Name:JANA
Other - Middle Name:M
Other - Last Name:HEALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:279 DALTON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-3540
Mailing Address - Country:US
Mailing Address - Phone:413-442-7337
Mailing Address - Fax:413-447-3882
Practice Address - Street 1:279 DALTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-3540
Practice Address - Country:US
Practice Address - Phone:413-442-7337
Practice Address - Fax:413-447-3882
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4651235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist