MEDICARE: MRS. JANICE SABLAN ADA CF-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

General Provider Information

NPI Number	:	1972267185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANICE SABLAN ADA CF-SLP

Provider Business Mailing Address
First Line	:	67 S HIGLEY RD STE 103-477
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-1166
Country	:	US
Telephone Number	:	346-273-3210
Fax Number	:

Provider Business Practice Location Address
First Line	:	2003 WW THORNE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77073-3301
Country	:	US
Telephone Number	:	346-273-3210
Fax Number	:

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

Provider Enumeration Date	:	10/25/2021
Last Update Date	:	10/25/2021

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Directions to “ MRS. JANICE SABLAN ADA CF-SLP” Practice Location

Language	Start Address	Practice Location

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