| Organization Name: | JANET MOULTON, INC. |
| NPI Number: | 1104867670 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANET MOULTON (PRESIDENT/SPEECH PATHOLOGIST) |
| Mailing Address: | 1463 Nectarine St Fernandina Beach |
| State: | FL US |
| Postal Code: | 320343027 |
| Phone Number: | 9043071129 |
| Fax Number: | 9042467259 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA4951 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |