Janice Lynn Brockus in Mexico - Speech-language Pathologist

Janice Lynn Brockus - NPI 1639150352

Janice Lynn Brockus is a Speech-language Pathologist in Mexico, Missouri. Janice Lynn Brockus practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Janice Lynn Brockus is 1639150352. The last update date is 2007-07-08.

Janice Lynn Brockus's current location address is 605 E Promenade St, Mexico, Missouri. You can contact this provider via phone number 5735811332 and fax number 5735816652. The mailing address for Janice Lynn Brockus is 605 E Promenade St, Mexico, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Janice Lynn Brockus
Address 605 E Promenade St, Mexico, Missouri
Phone Number 5735811332
Fax Number 5735816652
Sole Proprietor N
Credentials CCC-SLP

NPI Number Detail

NPI Number 1639150352
Provider Enumeration Date 2005-11-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 605 E Promenade St
City Mexico
State Missouri (MO)
Post Code 652652926
Phone Number 5735811332
Fax Number 5735816652

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 105762
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

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FAQs about Janice Lynn Brockus

What is the Janice Lynn Brockus's 1639150352?

The Janice Lynn Brockus's NPI (National Provider Identifier) Number is 1639150352. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Janice Lynn Brockus's facilities are geographically located?

The facilities of Janice Lynn Brockus are physically situated at the following location: 605 E Promenade St, Mexico, MO, 652652926.

What is the Janice Lynn Brockus's specialty and taxonomy code?

The Janice Lynn Brockus's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.

On what date did the Janice Lynn Brockus receive the assignment of its 1639150352 from the Centers for Medicare & Medicaid Services?

The Janice Lynn Brockus was issued its 1639150352 by the Centers for Medicare & Medicaid Services on 2005-11-09.

When was the Janice Lynn Brockus's information last updated?

The Janice Lynn Brockus's information was last updated on 2007-07-08.

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