Provider Demographics
NPI:1194084962
Name:EIG, JANET W (PSYD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:W
Last Name:EIG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 OLD WINDY BUSH RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1159
Mailing Address - Country:US
Mailing Address - Phone:703-910-2577
Mailing Address - Fax:
Practice Address - Street 1:5244 LYNGATE CT STE 200
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1631
Practice Address - Country:US
Practice Address - Phone:703-910-2577
Practice Address - Fax:703-661-9463
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017366103TC0700X, 103TH0004X, 103G00000X, 103TB0200X, 103TR0400X
NJ35SI00491200103TH0004X
NJ4912103TC0700X, 103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation