Provider Demographics
NPI:1306939798
Name:SKINNER, JANET K (LMFT)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:K
Last Name:SKINNER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1272 W MAIN RD
Mailing Address - Street 2:THE GREEN BLD 1
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-6335
Mailing Address - Country:US
Mailing Address - Phone:401-845-9499
Mailing Address - Fax:401-845-0077
Practice Address - Street 1:1272 W MAIN RD
Practice Address - Street 2:THE GREEN BLD 1
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-6335
Practice Address - Country:US
Practice Address - Phone:401-845-9499
Practice Address - Fax:401-845-0077
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMFT00069106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI2166871OtherUNITED BEHAVORIAL HEALTH
RI025498OtherVMC-EAP PROGRAM
RI21663-2OtherBLUE CROSS/BLUE SHIELD
RI407060OtherBLUE CHIP
RI1033420OtherNEIGHBORHOOD HEALTH
RI138308OtherVALUE OPTIONS