Provider Demographics
NPI:1194026187
Name:STUTZMAN, JANET SUSAN (TSHH)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:SUSAN
Last Name:STUTZMAN
Suffix:
Gender:F
Credentials:TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 AVIATION RD
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-2913
Mailing Address - Country:US
Mailing Address - Phone:518-824-4600
Mailing Address - Fax:
Practice Address - Street 1:409 AVIATION RD
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-2913
Practice Address - Country:US
Practice Address - Phone:518-824-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant