Provider Demographics
NPI:1710388012
Name:WARFORD, JANE (AUD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:WARFORD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:ELLEN
Other - Last Name:HUMPHREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31 PANORAMIC WAY FL 1
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-1627
Mailing Address - Country:US
Mailing Address - Phone:925-938-8686
Mailing Address - Fax:
Practice Address - Street 1:31 PANORAMIC WAY FL 1
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-1627
Practice Address - Country:US
Practice Address - Phone:925-938-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-06
Last Update Date:2014-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU882237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter