Individual
MS. JANIS RAYANN DAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8045 E PORTOBELLO AVE, MESA, AZ 85212-1690
(480) 507-1404
(480) 507-1666
Mailing address
8045 E PORTOBELLO AVE, MESA, AZ 85212-1690
(480) 507-1404
(480) 507-1666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL4049
AZ
Other
Enumeration date
11/15/2006
Last updated
12/08/2010
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