Individual
MRS. JANICE SMITH YENSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA ,CCC-SLP
Contact information
Practice address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
(803) 741-9090
Mailing address
2115 BAYBERRY CT, COLUMBIA, SC 29206-1473
(803) 787-4517
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3252
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0426
—
SC
Enumeration date
09/16/2006
Last updated
07/08/2007
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