Provider Demographics
NPI:1457554081
Name:TRAUGHBER, JAN LYNETTE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JAN
Middle Name:LYNETTE
Last Name:TRAUGHBER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-7249
Mailing Address - Country:US
Mailing Address - Phone:501-305-4415
Mailing Address - Fax:501-268-7995
Practice Address - Street 1:8 MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-7249
Practice Address - Country:US
Practice Address - Phone:501-305-4415
Practice Address - Fax:501-268-7995
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#2343235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist