Provider Demographics
NPI:1902937113
Name:PIKE, JANET S
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:S
Last Name:PIKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70272 SIMMONS RD
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:LA
Mailing Address - Zip Code:70444-6842
Mailing Address - Country:US
Mailing Address - Phone:985-514-0058
Mailing Address - Fax:985-229-6103
Practice Address - Street 1:70272 SIMMONS RD
Practice Address - Street 2:
Practice Address - City:KENTWOOD
Practice Address - State:LA
Practice Address - Zip Code:70444-6842
Practice Address - Country:US
Practice Address - Phone:985-514-0058
Practice Address - Fax:985-229-6103
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3655235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist