Provider Demographics
NPI:1124076302
Name:SCHOLLE, JANET LYNN (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:SCHOLLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 PALM BEACH LAKES BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WPB
Mailing Address - State:FL
Mailing Address - Zip Code:33409
Mailing Address - Country:US
Mailing Address - Phone:561-683-3371
Mailing Address - Fax:561-683-3376
Practice Address - Street 1:1920 PALM BEACH LAKES BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:WPB
Practice Address - State:FL
Practice Address - Zip Code:33409
Practice Address - Country:US
Practice Address - Phone:561-683-3371
Practice Address - Fax:561-683-3376
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2010-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME597552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12285OtherBCBS
FL12285OtherBCBS