Provider Demographics
NPI:1134146061
Name:GARFINKEL, JANINE ANN
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:ANN
Last Name:GARFINKEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 VEREDA DEL CIERVO
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-5304
Mailing Address - Country:US
Mailing Address - Phone:805-685-5329
Mailing Address - Fax:
Practice Address - Street 1:3839 CONSTELLATION RD
Practice Address - Street 2:SUITE D
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-1466
Practice Address - Country:US
Practice Address - Phone:805-733-3541
Practice Address - Fax:805-733-0502
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1184231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU1184OtherAUDIOLOGIST