Provider Demographics
NPI:1942935804
Name:MUMME, JANEL (MCD)
Entity Type:Individual
Prefix:MS
First Name:JANEL
Middle Name:
Last Name:MUMME
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1332 BAYOU RD
Mailing Address - Street 2:
Mailing Address - City:SAINT BERNARD
Mailing Address - State:LA
Mailing Address - Zip Code:70085-4804
Mailing Address - Country:US
Mailing Address - Phone:504-452-1276
Mailing Address - Fax:
Practice Address - Street 1:1332 BAYOU RD
Practice Address - Street 2:
Practice Address - City:SAINT BERNARD
Practice Address - State:LA
Practice Address - Zip Code:70085-4804
Practice Address - Country:US
Practice Address - Phone:504-452-1276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4456235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist