Provider Demographics
NPI:1548473473
Name:SANDERS, JANET LYNNE (MS CCC)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LYNNE
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MS CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9382 VELARDO DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-2315
Mailing Address - Country:US
Mailing Address - Phone:714-962-2490
Mailing Address - Fax:
Practice Address - Street 1:1800 E LA VETA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-2902
Practice Address - Country:US
Practice Address - Phone:714-633-7400
Practice Address - Fax:714-633-0738
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP6522235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist