Provider Demographics
NPI:1366986291
Name:DECK, JANETTE (M A SLP CCC)
Entity type:Individual
Prefix:MRS
First Name:JANETTE
Middle Name:
Last Name:DECK
Suffix:
Gender:F
Credentials:M A SLP CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3537 ASPENWOOD STREET
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104
Mailing Address - Country:US
Mailing Address - Phone:712-899-8167
Mailing Address - Fax:
Practice Address - Street 1:211 10TH STREET
Practice Address - Street 2:UNIT 1 EDUCATIONL SERVICE
Practice Address - City:WAKEFIELD
Practice Address - State:NE
Practice Address - Zip Code:68784
Practice Address - Country:US
Practice Address - Phone:402-287-2061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-12
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0000396235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist