Provider Demographics
NPI:1568887743
Name:SCARLET, JANINA
Entity type:Individual
Prefix:DR
First Name:JANINA
Middle Name:
Last Name:SCARLET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8064 ALLISON AVE # 518
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-6531
Mailing Address - Country:US
Mailing Address - Phone:858-751-4842
Mailing Address - Fax:
Practice Address - Street 1:8064 ALLISON AVE #518
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-6531
Practice Address - Country:US
Practice Address - Phone:858-751-4842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26231103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist