Provider Demographics
NPI:1174915177
Name:ROGERS, JANET MARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:MARIE
Last Name:ROGERS
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 1:1109 N. HWY 67
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-1868
Mailing Address - Country:US
Mailing Address - Phone:972-291-8255
Mailing Address - Fax:972-291-8183
Practice Address - Street 1:1109 N. HWY 67
Practice Address - Street 2:SUITE 1
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-1868
Practice Address - Country:US
Practice Address - Phone:972-291-8255
Practice Address - Fax:972-291-8183
Is Sole Proprietor?:No
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist