Provider Demographics
NPI:1275742645
Name:STEFFENS, JANET S (MSCCC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:S
Last Name:STEFFENS
Suffix:
Gender:F
Credentials:MSCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 YOUNGS RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:ME
Mailing Address - Zip Code:04001
Mailing Address - Country:US
Mailing Address - Phone:207-477-2695
Mailing Address - Fax:
Practice Address - Street 1:CENTER FOR COMMUNICATION
Practice Address - Street 2:1280 MAIN STREET
Practice Address - City:SANFORD
Practice Address - State:ME
Practice Address - Zip Code:04073
Practice Address - Country:US
Practice Address - Phone:207-324-2888
Practice Address - Fax:207-324-2879
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP302235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist