Provider Demographics
NPI:1528411006
Name:HEDGES, JANICE FINNIE (BS)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:FINNIE
Last Name:HEDGES
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-6956
Mailing Address - Country:US
Mailing Address - Phone:605-724-7943
Mailing Address - Fax:
Practice Address - Street 1:1300 S 3RD ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-6956
Practice Address - Country:US
Practice Address - Phone:605-724-7943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD202-LIMITED235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD$$$$$$$$$Medicaid