Provider Demographics
NPI:1114228822
Name:THOMASSON, JANA R'DEAN (SPEECH THERAPIST)
Entity Type:Individual
Prefix:MISS
First Name:JANA
Middle Name:R'DEAN
Last Name:THOMASSON
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 S SONCY RD STE 137
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-6406
Mailing Address - Country:US
Mailing Address - Phone:806-331-6084
Mailing Address - Fax:806-331-6085
Practice Address - Street 1:3501 S SONCY RD STE 137
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119
Practice Address - Country:US
Practice Address - Phone:806-331-6084
Practice Address - Fax:806-331-6085
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13838235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist