Provider Demographics
NPI:1316143704
Name:CUMMINGS, JANET LYNN (PSYD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:LYNN
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 15002
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85267-5002
Mailing Address - Country:US
Mailing Address - Phone:480-767-9252
Mailing Address - Fax:480-451-8758
Practice Address - Street 1:11260 N 92ND ST
Practice Address - Street 2:BLDG. 5, #1017
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6165
Practice Address - Country:US
Practice Address - Phone:480-767-9252
Practice Address - Fax:480-451-8758
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2025103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical