Provider Demographics
NPI:1154617595
Name:HUEY, JANICE (MS CCC-SLP, TSSLD)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:
Last Name:HUEY
Suffix:
Gender:F
Credentials:MS CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 WILLIAMS WAY N
Mailing Address - Street 2:
Mailing Address - City:BAITING HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:11933-1354
Mailing Address - Country:US
Mailing Address - Phone:631-764-2081
Mailing Address - Fax:
Practice Address - Street 1:1767 VETERANS HWY STE 22
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-1536
Practice Address - Country:US
Practice Address - Phone:631-851-9486
Practice Address - Fax:631-851-9487
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2012-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021067235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist