Provider Demographics
NPI:1114274792
Name:RESSUE, JANETTE C (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JANETTE
Middle Name:C
Last Name:RESSUE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 EXPERIMENTAL STATION RD
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-9307
Mailing Address - Country:US
Mailing Address - Phone:707-494-6974
Mailing Address - Fax:
Practice Address - Street 1:1018 EXPERIMENTAL STATION RD
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-9307
Practice Address - Country:US
Practice Address - Phone:707-494-6974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 11361235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist