Provider Demographics
NPI:1063462943
Name:RUNION, JANE E (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:E
Last Name:RUNION
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:JANE
Other - Middle Name:RUNION
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 OFFICE PARK WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1765
Mailing Address - Country:US
Mailing Address - Phone:585-383-1040
Mailing Address - Fax:585-586-5512
Practice Address - Street 1:10 OFFICE PARK WAY
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1765
Practice Address - Country:US
Practice Address - Phone:585-383-1040
Practice Address - Fax:585-586-5512
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012062103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7272323OtherAETNA
NY01592887Medicaid
NY106163FCOtherPREFERRED CARE
NY01592887Medicaid
NY7272323OtherAETNA