Provider Demographics
NPI:1013274299
Name:CORRAL, JANETTE VALERIE
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:VALERIE
Last Name:CORRAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 W RAMONA RD
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3711
Mailing Address - Country:US
Mailing Address - Phone:626-233-7094
Mailing Address - Fax:213-327-1009
Practice Address - Street 1:2905 W RAMONA RD
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3711
Practice Address - Country:US
Practice Address - Phone:626-233-7094
Practice Address - Fax:213-327-1009
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant