Provider Demographics
NPI:1952651119
Name:FLINN, JANICE ANN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:ANN
Last Name:FLINN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:JANICE
Other - Middle Name:ANN
Other - Last Name:FLINN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:4929 SHARPE RD
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-8404
Mailing Address - Country:US
Mailing Address - Phone:785-341-2484
Mailing Address - Fax:
Practice Address - Street 1:1500 NW 2ND AVE
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-8932
Practice Address - Country:US
Practice Address - Phone:360-279-5237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL 60066485235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist