Provider Demographics
NPI:1225324049
Name:BUTTERFIELD, JANICE ELAINE (MA)
Entity Type:Individual
Prefix:MISS
First Name:JANICE
Middle Name:ELAINE
Last Name:BUTTERFIELD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:JANICE
Other - Middle Name:ELAINE
Other - Last Name:AMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1044 E EL PASO AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2613
Mailing Address - Country:US
Mailing Address - Phone:559-287-5923
Mailing Address - Fax:
Practice Address - Street 1:1044 E EL PASO AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2613
Practice Address - Country:US
Practice Address - Phone:559-449-8454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP11576235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist