Provider Demographics
NPI:1215377551
Name:SAVAGE, JANELLE M (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:M
Last Name:SAVAGE
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:PO BOX 851
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98231-0851
Mailing Address - Country:US
Mailing Address - Phone:360-510-2122
Mailing Address - Fax:
Practice Address - Street 1:1036 E VICTORIA AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-1623
Practice Address - Country:US
Practice Address - Phone:360-510-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004559235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist