Individual
DR. JANET C. FALGOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4625 S LAKESHORE DR, TEMPE, AZ 85282-7127
(480) 860-5767
(480) 491-3628
Mailing address
2263 W KIOWA CIR, MESA, AZ 85202-6447
(480) 720-9199
(480) 491-3628
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2014
AZ
103T00000X
Psychologist
Primary
2014
AZ
103TA0700X
Adult Development & Aging Psychologist
2014
AZ
103TB0200X
Cognitive & Behavioral Psychologist
2014
AZ
103TC0700X
Clinical Psychologist
1473
NC
103TC0700X
Clinical Psychologist
2014
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
2014
AZ
103TH0100X
Health Service Psychologist
1473
NC
103TH0100X
Health Service Psychologist
2014
AZ
103TR0400X
Rehabilitation Psychologist
2014
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1473
NC LIC # PSYCHOLOGIST
NC
01
—
2014
LIC # AZ PSYCHOLOGIST
AZ
01
—
AZ00224
EDI TRADING PARTNER ID
AZ
Enumeration date
10/16/2006
Last updated
01/04/2021
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