Provider Demographics
NPI:1154506087
Name:PICKENS, JANELLE ERIN (MS,CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:ERIN
Last Name:PICKENS
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 1:7540 SAWMILL PARKWAY
Mailing Address - Street 2:SUITE A-2
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9845
Mailing Address - Country:US
Mailing Address - Phone:614-973-9755
Mailing Address - Fax:
Practice Address - Street 1:7540 SAWMILL PARKWAY
Practice Address - Street 2:SUITE A-2
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9845
Practice Address - Country:US
Practice Address - Phone:614-973-9755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 7127235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist