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Individual
MS. JANICE B YEARY
Active
Individual
MS. JANICE B YEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, CCC, SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203986901
—
TX
01
—
80T421
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/27/2009
Last updated
03/08/2012
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