Provider Demographics
NPI:1437631611
Name:JANNETTI, NACHELLE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NACHELLE
Middle Name:
Last Name:JANNETTI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 N SEQUIM AVE
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3161
Mailing Address - Country:US
Mailing Address - Phone:360-582-3260
Mailing Address - Fax:
Practice Address - Street 1:350 W FIR ST
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3352
Practice Address - Country:US
Practice Address - Phone:360-582-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty