Provider Demographics
NPI:1841791621
Name:DADE, JANEE' VICTORIA (SLP-ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:JANEE'
Middle Name:VICTORIA
Last Name:DADE
Suffix:
Gender:F
Credentials:SLP-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 N ELDRIDGE PKWY APT 144
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4493
Mailing Address - Country:US
Mailing Address - Phone:832-574-1926
Mailing Address - Fax:
Practice Address - Street 1:770 N ELDRIDGE PKWY APT 144
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4493
Practice Address - Country:US
Practice Address - Phone:832-574-1926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX373002355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty