Individual
TINA M JANICHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
410 S COMMERCIAL ST, NEENAH, WI 54956-2593
(920) 751-6800
Mailing address
1173 WESTWIND DR, NEENAH, WI 54956-5153
(920) 540-4102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
820
WI
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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