Individual
BETH M JANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
147 W SIERRA MADRE BLVD FL 2, SIERRA MADRE, CA 91024-2492
(626) 539-2001
Mailing address
147 W SIERRA MADRE BLVD FL 2, SIERRA MADRE, CA 91024-2492
(626) 539-2001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94024259
CA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/10/2017
Last updated
09/20/2018
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