Provider Demographics
NPI:1316450067
Name:JANAITIS, AUSTIN DEMOSS (MS, CGC)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:DEMOSS
Last Name:JANAITIS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:AUSTIN
Other - Middle Name:MCFARLAND
Other - Last Name:DEMOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:22 S GREENE ST RM N6E301
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1544
Mailing Address - Country:US
Mailing Address - Phone:410-328-3339
Mailing Address - Fax:410-328-2599
Practice Address - Street 1:22 S GREENE ST RM N6E301
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-3339
Practice Address - Fax:410-328-2599
Is Sole Proprietor?:No
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS