Provider Demographics
NPI:1740587856
Name:BARSUHN, JANELLE CHRISTINE (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JANELLE
Middle Name:CHRISTINE
Last Name:BARSUHN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CENTRAL VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10917-3523
Mailing Address - Country:US
Mailing Address - Phone:845-781-6693
Mailing Address - Fax:
Practice Address - Street 1:62 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:CENTRAL VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10917-3523
Practice Address - Country:US
Practice Address - Phone:845-781-6693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015770-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist