Provider Demographics
NPI:1073807368
Name:CASABONNE, JANET HOUSTON (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:HOUSTON
Last Name:CASABONNE
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Gender:F
Credentials:MS,CCC-SLP
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Mailing Address - Street 1:935 E WINDING CREEK DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-7240
Mailing Address - Country:US
Mailing Address - Phone:208-938-4748
Mailing Address - Fax:208-938-1710
Practice Address - Street 1:935 E WINDING CREEK DR
Practice Address - Street 2:SUITE 120
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-7240
Practice Address - Country:US
Practice Address - Phone:208-938-4748
Practice Address - Fax:208-938-1710
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IDSLP-1316235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist