Provider Demographics
NPI:1043328974
Name:YORK, JANINE S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JANINE
Middle Name:S
Last Name:YORK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:JANINE
Other - Middle Name:S
Other - Last Name:LABAGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1100 BERKSHIRE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1221
Mailing Address - Country:US
Mailing Address - Phone:484-877-5252
Mailing Address - Fax:
Practice Address - Street 1:1100 BERKSHIRE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1221
Practice Address - Country:US
Practice Address - Phone:484-877-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016127103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA9737329OtherAETNA
PA1990454OtherBLUE SHIELD
PA117332Medicare PIN