Provider Demographics
NPI:1023519584
Name:RICHARDS, JANICE MAY (MS)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:MAY
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 S BELLEVILLE ST
Mailing Address - Street 2:
Mailing Address - City:FREEBURG
Mailing Address - State:IL
Mailing Address - Zip Code:62243-1534
Mailing Address - Country:US
Mailing Address - Phone:618-539-3188
Mailing Address - Fax:
Practice Address - Street 1:408 S BELLEVILLE ST
Practice Address - Street 2:
Practice Address - City:FREEBURG
Practice Address - State:IL
Practice Address - Zip Code:62243-1534
Practice Address - Country:US
Practice Address - Phone:618-539-3188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist