Individual
DR. MICAH LOUIS JANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
30410 RIVER RD, ORANGE BEACH, AL 36561-3774
(850) 384-1943
Mailing address
30410 RIVER RD, ORANGE BEACH, AL 36561-3774
(850) 384-1943
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000908
GA
Other
Enumeration date
01/10/2010
Last updated
12/16/2013
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