Individual
GARRET JOHN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
500 JEFFERSON ST, PELLA, IA 50219-1255
(641) 628-6623
(641) 621-2223
Mailing address
500 JEFFERSON ST, PELLA, IA 50219-1255
(641) 628-6623
(641) 621-2223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109225
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109225
LICENSE
IA
Enumeration date
06/15/2021
Last updated
06/23/2021
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