Provider Demographics
NPI:1962762781
Name:BIGBY, JANICE (PHD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:BIGBY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1105 SANDPIPER DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-8034
Mailing Address - Country:US
Mailing Address - Phone:940-231-3693
Mailing Address - Fax:
Practice Address - Street 1:4232 N INTERSTATE 35
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-3408
Practice Address - Country:US
Practice Address - Phone:940-231-3693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-26
Last Update Date:2012-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36128103TH0004X
TX33132103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool