Individual
DR. GAYLE S. JANZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2 RIVERCHASE OFFICE PLZ, SUITE 115, HOOVER, AL 35244-2890
(205) 403-0955
(205) 403-0956
Mailing address
2 RIVERCHASE OFFICE PLZ, SUITE 115, HOOVER, AL 35244-2890
(205) 403-0955
(205) 403-0956
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
350
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51074008
BLUE CROSS AL PROVIDER #
AL
01
—
51099575
FED BLUE CROSS PROVIDER #
AL
01
—
6190697
UBH ATL. PROVIDER #
AL
Enumeration date
07/16/2006
Last updated
07/09/2007
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