Provider Demographics
NPI:1922171842
Name:NEMYO, JANNE L (MA)
Entity Type:Individual
Prefix:MRS
First Name:JANNE
Middle Name:L
Last Name:NEMYO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2429 ROBIN WAY
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-1815
Mailing Address - Country:US
Mailing Address - Phone:508-246-3437
Mailing Address - Fax:
Practice Address - Street 1:1175 W PECOS RD APT 1031
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5265
Practice Address - Country:US
Practice Address - Phone:508-246-3437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP5170235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist