Provider Demographics
NPI:1215101795
Name:BURDETTE, JANELLE ANNE (MS, CCC/A, FAAA)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:ANNE
Last Name:BURDETTE
Suffix:
Gender:F
Credentials:MS, CCC/A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1968 WELSH VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-9759
Mailing Address - Country:US
Mailing Address - Phone:484-716-7954
Mailing Address - Fax:
Practice Address - Street 1:80 W WELSH POOL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1233
Practice Address - Country:US
Practice Address - Phone:610-363-2532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005972231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter