Provider Demographics
NPI:1386363588
Name:ANDREWS, JANELLE (MA)
Entity type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 KEARBEY DR
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-1617
Mailing Address - Country:US
Mailing Address - Phone:573-660-0543
Mailing Address - Fax:
Practice Address - Street 1:24 S HERREN AVE
Practice Address - Street 2:
Practice Address - City:ELLSINORE
Practice Address - State:MO
Practice Address - Zip Code:63937-8208
Practice Address - Country:US
Practice Address - Phone:573-322-5653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist