Provider Demographics
NPI:1235478017
Name:KINDORF, JANICE ELIZABETH (MA-CCC, SLP)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:ELIZABETH
Last Name:KINDORF
Suffix:
Gender:F
Credentials:MA-CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-1421
Mailing Address - Country:US
Mailing Address - Phone:508-314-5954
Mailing Address - Fax:
Practice Address - Street 1:95 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-1421
Practice Address - Country:US
Practice Address - Phone:508-314-5954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8212235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist