MEDICARE: JANICE LYNN GIFFIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	7273	OH

General Provider Information

NPI Number	:	1801213517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE LYNN GIFFIN

Provider Business Mailing Address
First Line	:	7522 PEACHMONT AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-5831
Country	:	US
Telephone Number	:	740-398-8565
Fax Number	:

Provider Business Practice Location Address
First Line	:	3057 CLEVELAND AVE SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-3625
Country	:	US
Telephone Number	:	740-484-9626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2014
Last Update Date	:	03/20/2014

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Directions to “ JANICE LYNN GIFFIN ” Practice Location

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