Provider Demographics
NPI:1407092745
Name:KANE, JANET M (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:M
Last Name:KANE
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 1:946 WILCOXSON AVE
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4243
Mailing Address - Country:US
Mailing Address - Phone:203-502-2685
Mailing Address - Fax:
Practice Address - Street 1:946 WILCOXSON AVE
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-4243
Practice Address - Country:US
Practice Address - Phone:203-502-2685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003545235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist