Healthcare Provider Details

I. General information

NPI: 1407765514
Provider Name (Legal Business Name): KATHERINE LYNN JANOV MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATIE JANOV MS, CCC-SLP

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 SCENIC VW
YORKTOWN HEIGHTS NY
10598-5139
US

IV. Provider business mailing address

88 SCENIC VW
YORKTOWN HEIGHTS NY
10598-5139
US

V. Phone/Fax

Practice location:
  • Phone: 862-354-4339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number034524
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: