Provider Demographics
NPI:1881725240
Name:MINNEY, JANEA (MS, CCC-SLP, CED)
Entity type:Individual
Prefix:MRS
First Name:JANEA
Middle Name:
Last Name:MINNEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP, CED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 HAZELWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-2711
Mailing Address - Country:US
Mailing Address - Phone:636-532-3211
Mailing Address - Fax:
Practice Address - Street 1:1809 CLARKSON RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5065
Practice Address - Country:US
Practice Address - Phone:636-532-3211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006027167235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist