MEDICARE: MRS. JANIS H. DEANE M.ED., 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	19284	TX

General Provider Information

NPI Number	:	1942467626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANIS H. DEANE M.ED., CCC-SLP

Provider Business Mailing Address
First Line	:	UT SOUTHWESTERN MEDICAL CENTER AT DALLAS
Second Line	:	5323 HARRY HINES BLVD.
City	:	DALLAS
State	:	TX
Zip	:	75390-0001
Country	:	US
Telephone Number	:	214-645-8856
Fax Number	:

Provider Business Practice Location Address
First Line	:	UT SOUTHWESTERN MEDICAL CENTER AT DALLAS
Second Line	:	5303 HARRY HINES BLVD.
City	:	DALLAS
State	:	TX
Zip	:	75390-0001
Country	:	US
Telephone Number	:	214-645-8856
Fax Number	:

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

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	05/20/2008

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Directions to “ MRS. JANIS H. DEANE M.ED., CCC-SLP” Practice Location

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