Healthcare Provider Details

I. General information

NPI: 1225116668
Provider Name (Legal Business Name): JANIE H. EIBLER M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3393 MAPLE HAMMOCK DR
SARASOTA FL
34235-6646
US

IV. Provider business mailing address

3393 MAPLE HAMMOCK DR
SARASOTA FL
34235-6646
US

V. Phone/Fax

Practice location:
  • Phone: 469-843-1720
  • Fax:
Mailing address:
  • Phone: 469-843-1720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA19863
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number15776
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: