Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 0180004170 | VA |
Y | 103T00000X | Psychologist | 0180004170 | VA |
N | 103G00000X | Clinical Psychologist | 011P | AR |
N | 103TC0700X | Clinical Psychologist | 011P | AR |
NPI | 1003825688 |
---|---|
Provider Name | Janet Ellen L'abbe |
First Address | Shepherdstown, WV 25443-4740 |
Second Address | Hot Springs, AR 71901-6000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 07/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
154450744 | (05) | AR |