Provider Demographics
NPI:1962603605
Name:RAJNIC, ALEXINE M (CCC SLP)
Entity type:Individual
Prefix:MS
First Name:ALEXINE
Middle Name:M
Last Name:RAJNIC
Suffix:
Gender:F
Credentials:CCC SLP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10 WEST PHILLIP ST
Mailing Address - Street 2:
Mailing Address - City:COALDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18218-1437
Mailing Address - Country:US
Mailing Address - Phone:610-780-8035
Mailing Address - Fax:
Practice Address - Street 1:101 E WASHINGTON ST
Practice Address - Street 2:SHENANDOAH MANOR NURSING HOME
Practice Address - City:SHENANDOAH
Practice Address - State:PA
Practice Address - Zip Code:17976
Practice Address - Country:US
Practice Address - Phone:570-462-1910
Practice Address - Fax:570-462-9801
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASL000386L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist