Provider Demographics
NPI:1063503811
Name:NISSEN, JANET SUE (MA SLP CCC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:SUE
Last Name:NISSEN
Suffix:
Gender:F
Credentials:MA SLP CCC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4280 HALE PKWY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220
Mailing Address - Country:US
Mailing Address - Phone:303-322-1871
Mailing Address - Fax:303-399-3411
Practice Address - Street 1:4280 HALE PKWY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220
Practice Address - Country:US
Practice Address - Phone:303-322-1871
Practice Address - Fax:303-399-3411
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist