Provider Demographics
NPI:1679514103
Name:TURNER, JANE ANN (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:ANN
Last Name:TURNER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 W GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47330-9671
Mailing Address - Country:US
Mailing Address - Phone:765-220-2476
Mailing Address - Fax:765-855-2648
Practice Address - Street 1:461 W GROVE RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IN
Practice Address - Zip Code:47330-9671
Practice Address - Country:US
Practice Address - Phone:765-220-2476
Practice Address - Fax:765-855-2648
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003416235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN162954OtherCSHCS ID NUMBER