Provider Demographics
NPI:1487469367
Name:CORMIER, JANE FRANCES (PHD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:FRANCES
Last Name:CORMIER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 WHIRLAWAY TRL
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-1600
Mailing Address - Country:US
Mailing Address - Phone:850-321-4032
Mailing Address - Fax:
Practice Address - Street 1:2920 WHIRLAWAY TRL
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-1600
Practice Address - Country:US
Practice Address - Phone:850-321-4032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5485103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical