Provider Demographics
NPI:1114486412
Name:GRIEBEL, JANET WHITE (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:WHITE
Last Name:GRIEBEL
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 1:130 NOAHS DR
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35128-7040
Mailing Address - Country:US
Mailing Address - Phone:205-753-9998
Mailing Address - Fax:
Practice Address - Street 1:130 NOAHS DR
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35128-7040
Practice Address - Country:US
Practice Address - Phone:205-753-9998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-16
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2891235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist