Individual
MRS. JANICE FERN SPROUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBT,CBS,
Contact information
Practice address
3105 NONPAREIL RD, SUTHERLIN, OR 97479-9759
(541) 430-1026
(541) 459-9614
Mailing address
3105 NONPAREIL RD, SUTHERLIN, OR 97479-9759
(541) 430-1026
(541) 459-9614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4013 BF
BIOFEEDBACK SPECIALIST
NC
Enumeration date
09/17/2009
Last updated
09/17/2009
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