Doctor Name: | MS. JANIS MARCELL LOCKLIN |
NPI Number: | 1689729998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS.,CCC-SLP |
License Number: | S0919 |
Business Practice Address: | 933 Savannah Pl Gulfport, MS - 395073354 |
Business Phone Number: | 2282340753 |
Business Fax Number: | 2288969185 |
Mailing Address: | 933 Savannah Pl, GULFPORT |
State: | MS |
Postal Code: | 395073354 |
Phone Number: | 2282340753 |
Fax Number: | 2288969185 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S0919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |