Provider Demographics
NPI:1124677448
Name:JANNING, ALYSON
Entity type:Individual
Prefix:DR
First Name:ALYSON
Middle Name:
Last Name:JANNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6606 FOUNTAINS BLVD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6124
Mailing Address - Country:US
Mailing Address - Phone:937-260-8896
Mailing Address - Fax:
Practice Address - Street 1:5425 WINTON RIDGE LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45232-1140
Practice Address - Country:US
Practice Address - Phone:513-363-5316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.02192231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist