Katherine Anne Janelle, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Woodruff, SC
NPI 1386077451 · NPPES record last updated Sep 12, 2014
Key facts
- NPI
- 1386077451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5360 (SC)
- Practice address
- 200 Lucy P Edwards Rd
Woodruff, SC 29388-8220 - Phone
- (864) 476-3174
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5360 | SC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5360 | SC | Yes |
Addresses
Primary practice location
200 Lucy P Edwards Rd
Woodruff, SC 29388-8220
Mailing address
200 Lucy P Edwards Rd
Woodruff, SC 29388-8220
Phone (864) 476-3174
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14037987 | Other | SC | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION: CERTIFICATE OF CLINICAL COMPETENCE |
| 265344 | Other | SC | SOUTH CAROLINA STATE BOARD OF EDUCATION: EDUCATOR LICENSE |
| 5360 | Other | SC | DEPARTMENT OF LLR: BOARD OF EXAMINERS IN SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
Other providers in Woodruff, SC
- Thorpe A Jacob
- Meghan Dickey Jahnke
- James Clinic Inc
- James H. Allen
- James-Willmot Clinic
- Terry E Jeffries
- Mary Kathryn Johns
- Victoria Grace Johnson
- Jamie Leigh Keeney
- Lyubov Ivanovna Khmaruk
All providers in Woodruff, SC · Speech-Language Pathologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.