Sheryl A Janes, SLP/CCC
Individual provider Active NPI Speech-Language Pathologist · Lee Center, NY
NPI 1760627160 · NPPES record last updated Dec 13, 2008
Key facts
- NPI
- 1760627160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 004924 (NY)
- Practice address
- 68 Family Cir
Lee Center, NY 13363-9728 - Phone
- (315) 337-1352
- NPI assigned
- Dec 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004924 | NY | Yes |
Addresses
Primary practice location
68 Family Cir
Lee Center, NY 13363-9728
Mailing address
68 Family Cir
Lee Center, NY 13363-9728
Phone (315) 337-1352
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004924 | Other | NY | NYS LICENSE NUMBER |
Other providers in Lee Center, NY
All providers in Lee Center, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2008. 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.