Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Janice Lynn Gibala-Broxholm, CCC/LIC

Individual provider Speech-Language Pathologist · NPI 1073779989

Mrs. Janice Lynn Gibala-Broxholm, CCC/LIC is a Speech-Language Pathologist in Newark, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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Practice location Address checks out

848 Peirson Ave
Newark, NY 14513-9762
Phone: (315) 331-2086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 004533-1 (NY)

Record details

NPI number1073779989
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC/LIC
Sole proprietorNo
NPI enumeratedJuly 30, 2008
Last updated in NPPESJuly 30, 2008

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