Individual
MRS. JANE E CONSTANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP, M.A. CCC
Contact information
Practice address
7803 SW CEDAR LN, AUGUSTA, KS 67010-8145
(316) 775-1181
Mailing address
7803 SW CEDAR LN, AUGUSTA, KS 67010-8145
(316) 775-1181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
723
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000018341
BLUECROSS BLUESHIELD
KS
01
—
2339
PHS
KS
Enumeration date
05/09/2007
Last updated
07/08/2007
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