Provider Demographics
NPI:1154514263
Name:DRENNON, JANELLE KAY (MS CCCSLP)
Entity type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:KAY
Last Name:DRENNON
Suffix:
Gender:F
Credentials:MS CCCSLP
Other - Prefix:MS
Other - First Name:JANELLE
Other - Middle Name:KAY
Other - Last Name:BAGBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCCSLP
Mailing Address - Street 1:2424 WILCREST DR STE 110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2772
Mailing Address - Country:US
Mailing Address - Phone:713-666-8287
Mailing Address - Fax:813-264-0768
Practice Address - Street 1:2424 WILCREST DR STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042
Practice Address - Country:US
Practice Address - Phone:713-666-8287
Practice Address - Fax:713-660-8391
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108685235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist