MEDICARE: MS. JANINE ANN CARLOW MA CCC-SLP

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	526	NE

General Provider Information

NPI Number	:	1013115047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANINE ANN CARLOW MA CCC-SLP

Provider Business Mailing Address
First Line	:	1171 17TH AVE
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-5942
Country	:	US
Telephone Number	:	402-562-3333
Fax Number	:	402-562-3334

Provider Business Practice Location Address
First Line	:	4600 38TH STREET
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68602-1800
Country	:	US
Telephone Number	:	402-562-3333
Fax Number	:	402-562-3334

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

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	07/11/2007

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