Provider Demographics
NPI:1558521609
Name:VANCE, JANET ELAINE (AUD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:ELAINE
Last Name:VANCE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:ELAINE
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1 CHILDRENS PL # 3S23
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1081
Mailing Address - Country:US
Mailing Address - Phone:314-454-6171
Mailing Address - Fax:314-454-4097
Practice Address - Street 1:1 CHILDRENS PL # 3S23
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1081
Practice Address - Country:US
Practice Address - Phone:314-454-6171
Practice Address - Fax:314-454-4097
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009021163237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter