Individual ProviderJanet Dea HackettSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2865 Chancellor Dr, Suite 105, Crestview Hills, KY 41017-3912(859) 426-5666PECOS EnrollmentBased on the most recent information from CMS, provider Janet Dea Hackett does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1235683632Provider TypeIndividualFull NameHackett, Janet DeaGenderFemaleSole ProprietorYesEnumeration Date8/15/2016Last Updated8/15/2016Contact InformationPractice LocationPractice Address2865 Chancellor Dr, Suite 105, Crestview Hills, KY 41017-3912Phone(859) 426-5666Fax(859) 426-5665Mailing LocationMailing Address2865 Chancellor Dr, Suite 105, Crestview Hills, KY 41017-3912Phone(859) 426-5666Fax(859) 426-5665Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense3906KentuckyProvider IdentifiersIDDescriptionIssuerID3906DescriptionMedicaidIssuerUnlistedKentucky