Provider Demographics
NPI:1083826580
Name:LUKENS, JANALEE (MA,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JANALEE
Middle Name:
Last Name:LUKENS
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 E. 450 S.
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47302
Mailing Address - Country:US
Mailing Address - Phone:765-686-1045
Mailing Address - Fax:
Practice Address - Street 1:2700 E. 450 S.
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47302
Practice Address - Country:US
Practice Address - Phone:765-254-1913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22004098A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist