Provider Demographics
NPI:1497058036
Name:KANTOR, JANET LYNN (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LYNN
Last Name:KANTOR
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Gender:F
Credentials:MA CCC-SLP
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Mailing Address - Street 1:374 RILEY AVENUE
Mailing Address - Street 2:RILEY AVENUE SCHOOL
Mailing Address - City:CALVERTON
Mailing Address - State:NY
Mailing Address - Zip Code:11933
Mailing Address - Country:US
Mailing Address - Phone:631-369-6805
Mailing Address - Fax:631-369-6807
Practice Address - Street 1:374 RILEY AVENUE
Practice Address - Street 2:RILEY AVENUE SCHOOL
Practice Address - City:CALVERTON
Practice Address - State:NY
Practice Address - Zip Code:11933
Practice Address - Country:US
Practice Address - Phone:631-369-6805
Practice Address - Fax:631-369-6807
Is Sole Proprietor?:No
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY4237-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist