Provider Demographics
NPI:1194944298
Name:PADGETT, JANET LYNN (PHD, MAC)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:LYNN
Last Name:PADGETT
Suffix:
Gender:F
Credentials:PHD, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 E COLD SPRING LN
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-2423
Mailing Address - Country:US
Mailing Address - Phone:410-444-6021
Mailing Address - Fax:
Practice Address - Street 1:1501 SULGRAVE AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3654
Practice Address - Country:US
Practice Address - Phone:410-542-2010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00847171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist