Provider Demographics
NPI:1326216540
Name:WHITTAKER, JANICE (MS, CCC)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:
Last Name:WHITTAKER
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:MS
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:BRIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC
Mailing Address - Street 1:827 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02633-1120
Mailing Address - Country:US
Mailing Address - Phone:508-945-0552
Mailing Address - Fax:508-348-0221
Practice Address - Street 1:383 S ORLEANS RD
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-2870
Practice Address - Country:US
Practice Address - Phone:508-240-3500
Practice Address - Fax:508-240-1969
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1530235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist