Doctor Name: | JANNA GREATHOUSE |
NPI Number: | 1184734295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 3304 |
Business Practice Address: | 11108 S 2nd St Jenks, OK - 740372061 |
Business Phone Number: | 9185044895 |
Business Fax Number: | |
Mailing Address: | 11108 S 2nd St, JENKS |
State: | OK |
Postal Code: | 740372061 |
Phone Number: | 9185044895 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 02/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3304 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
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 |