Provider Demographics
NPI:1629056262
Name:DUNGAN, JANICE E
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:E
Last Name:DUNGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 MABRY HOOD RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-2221
Mailing Address - Country:US
Mailing Address - Phone:865-357-2334
Mailing Address - Fax:865-357-2416
Practice Address - Street 1:130 MABRY HOOD RD
Practice Address - Street 2:SUITE 103
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2221
Practice Address - Country:US
Practice Address - Phone:865-357-2334
Practice Address - Fax:865-357-2416
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000142231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1316110240OtherGROUP NPI #