Provider Demographics
NPI:1992972319
Name:TAKATS, JANET L (MS)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:L
Last Name:TAKATS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 E SOUTH ST
Mailing Address - Street 2:STE 400A
Mailing Address - City:GENESEO
Mailing Address - State:NY
Mailing Address - Zip Code:14454-1300
Mailing Address - Country:US
Mailing Address - Phone:585-243-7690
Mailing Address - Fax:585-243-9208
Practice Address - Street 1:50 E SOUTH ST
Practice Address - Street 2:STE 400A
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-1300
Practice Address - Country:US
Practice Address - Phone:585-243-7690
Practice Address - Fax:585-243-9208
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001311-1231H00000X
NY14000026784237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter