Provider Demographics
NPI:1346492360
Name:KALINA-SUAREZ, JANET MELISSA (MA, CCC-SP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:MELISSA
Last Name:KALINA-SUAREZ
Suffix:
Gender:F
Credentials:MA, CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 DOREMUS AVENUE
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-1208
Mailing Address - Country:US
Mailing Address - Phone:201-675-0302
Mailing Address - Fax:201-444-2837
Practice Address - Street 1:449 DOREMUS AVENUE
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-1208
Practice Address - Country:US
Practice Address - Phone:201-675-0302
Practice Address - Fax:201-444-2837
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00125100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist