Provider Demographics
NPI:1609249333
Name:BARNETT, JANIS D (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANIS
Middle Name:D
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4742 SULPHUR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-2070
Mailing Address - Country:US
Mailing Address - Phone:205-482-3802
Mailing Address - Fax:
Practice Address - Street 1:4742 SULPHUR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-2070
Practice Address - Country:US
Practice Address - Phone:205-482-3802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2210235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist