Provider Demographics
NPI:1962747881
Name:SEKAS, JAN S (SPEECH THERAPIST)
Entity type:Individual
Prefix:MS
First Name:JAN
Middle Name:S
Last Name:SEKAS
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:SUE
Other - Last Name:SEKAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SPEECH PATHOLOGIST
Mailing Address - Street 1:31492 FLYING CLOUD DR.
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677
Mailing Address - Country:US
Mailing Address - Phone:949-226-2110
Mailing Address - Fax:
Practice Address - Street 1:2552 TORREY PINES RD., LA JOLLA NURSING AND REHABILITAT
Practice Address - Street 2:
Practice Address - City:LAJOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-453-5810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA167675235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist