Provider Demographics
NPI:1891928438
Name:COMBS, JANICE SUE (ACA/BCHIS)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:SUE
Last Name:COMBS
Suffix:
Gender:F
Credentials:ACA/BCHIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 MEMORIAL PKWY SW
Mailing Address - Street 2:SUITE #610
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5335
Mailing Address - Country:US
Mailing Address - Phone:256-880-1539
Mailing Address - Fax:256-880-1539
Practice Address - Street 1:3322 MEMORIAL PKWY SW
Practice Address - Street 2:SUITE #610
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5335
Practice Address - Country:US
Practice Address - Phone:256-880-1539
Practice Address - Fax:256-880-1539
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4103237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist