Provider Demographics
NPI:1659425841
Name:JANSSENS, MICHELE I (SLP)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:I
Last Name:JANSSENS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:MICHELE
Other - Middle Name:I
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:115 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-3729
Mailing Address - Country:US
Mailing Address - Phone:620-755-6884
Mailing Address - Fax:
Practice Address - Street 1:115 HARRISON ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114
Practice Address - Country:US
Practice Address - Phone:620-755-6884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2253235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist