Provider Demographics
NPI:1841421062
Name:DENNEY, JANET MAUREEN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:MAUREEN
Last Name:DENNEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16906 N ORAH CT
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-9330
Mailing Address - Country:US
Mailing Address - Phone:208-249-7947
Mailing Address - Fax:
Practice Address - Street 1:16906 N ORAH CT
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-9330
Practice Address - Country:US
Practice Address - Phone:208-249-7947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10610235Z00000X
IDSLP-1498235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist