Provider Demographics
NPI:1871980474
Name:CONVEY, JANET MARIE (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:MARIE
Last Name:CONVEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:362 OAK HILLS DR
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377-1150
Mailing Address - Country:US
Mailing Address - Phone:818-292-5335
Mailing Address - Fax:818-706-0630
Practice Address - Street 1:5655 LINDERO CANYON RD
Practice Address - Street 2:SUITE 106-5
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-4016
Practice Address - Country:US
Practice Address - Phone:818-292-5335
Practice Address - Fax:818-706-0630
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11445235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist