Provider Demographics
NPI:1629020839
Name:ROGERS, JANETTE (MA, CCC A)
Entity Type:Individual
Prefix:MS
First Name:JANETTE
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MA, CCC A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 HIGHWAY 6 W
Mailing Address - Street 2:AUDIOLOGY 126
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2292
Mailing Address - Country:US
Mailing Address - Phone:319-339-7126
Mailing Address - Fax:319-887-4956
Practice Address - Street 1:601 HIGHWAY 6 W
Practice Address - Street 2:AUDIOLOGY 126
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2292
Practice Address - Country:US
Practice Address - Phone:319-339-7126
Practice Address - Fax:319-887-4956
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA435231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist