Provider Demographics
NPI:1700094935
Name:LAWLEY, JANET T (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:T
Last Name:LAWLEY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1761 PRAIRIE LN S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-4741
Mailing Address - Country:US
Mailing Address - Phone:701-238-5257
Mailing Address - Fax:
Practice Address - Street 1:1761 PRAIRIE LN S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-4741
Practice Address - Country:US
Practice Address - Phone:701-238-5257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND686235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist