Provider Demographics
NPI:1568520526
Name:BAUHOFER, JANENE (MS CCC-A)
Entity Type:Individual
Prefix:
First Name:JANENE
Middle Name:
Last Name:BAUHOFER
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11775 EDUCATION ST STE 102
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-2453
Mailing Address - Country:US
Mailing Address - Phone:530-823-7532
Mailing Address - Fax:530-823-0316
Practice Address - Street 1:11775 EDUCATION ST STE 102
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-2453
Practice Address - Country:US
Practice Address - Phone:530-823-7532
Practice Address - Fax:530-823-0316
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1501231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ15403ZMedicare ID - Type Unspecified