Provider Demographics
NPI:1962781435
Name:ESSNER PANOSIAN, JANELLE ELIZABETH
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:ELIZABETH
Last Name:ESSNER PANOSIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:ELIZABETH
Other - Last Name:ESSNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5389 ARSENAL ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-1401
Mailing Address - Country:US
Mailing Address - Phone:314-772-6933
Mailing Address - Fax:314-772-5858
Practice Address - Street 1:5389 ARSENAL ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-1401
Practice Address - Country:US
Practice Address - Phone:314-772-6933
Practice Address - Fax:314-772-5858
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst